Evaluation of surgery in simple ovarian cysts.
- Author:
Ding XIAOMAN
1
;
Leng JINHUA
;
Lang JINGHE
;
Li HUAJUN
Author Information
- Publication Type:Journal Article
- MeSH: Endometriosis; diagnostic imaging; surgery; Evaluation Studies as Topic; Female; Humans; Laparoscopy; Laparotomy; Ovarian Cysts; diagnostic imaging; pathology; surgery; Ovarian Diseases; diagnostic imaging; surgery; Ovarian Neoplasms; diagnostic imaging; surgery; Teratoma; diagnostic imaging; surgery; Ultrasonography
- From: Chinese Medical Sciences Journal 2003;18(2):93-96
- CountryChina
- Language:English
-
Abstract:
OBJECTIVETo evaluate the surgery in simple ovarian cysts.
METHODSFrom Jan. 1994 to Dec. 1999, 221 women with simple ovarian cysts were admitted into our hospital. The diameter of cysts was < 5 cm in 76 cases, and was > or = 5 cm in 145 cases ultrasonically. One hundred and eighty-four patients underwent laparoscopy, and thirty-seven underwent laparotomy.
RESULTSHistological findings showed no malignancy in this series. Simple cysts, paraovarian cysts and corpus luteum were found histologically in 90.8% of cases with cysts < 5 cm, and 60% of those with cysts > 7 cm respectively, their difference was significant (chi2=37.13, P<0.001). The simple cysts, paraovarian cysts and corpus luteum cysts were found in 81.5% of postmenopausal women and 84.0% of premenopausal women.
CONCLUSIONPatients with cysts > 7 cm are indicated for surgical procedures, while a period of followup is acceptable for patients with cysts < 7 cm, and surgery is advisable if the cyst is persistent during followup. Postmenopausal women with cysts should have operations.
