Comparison of fine-needle aspiration cytologic findings of ovarian cysts with ovarian histologic findings☆,☆☆
Section snippets
Material and methods
All ovaries submitted for pathologic examination at Carolinas Medical Center during a 1-year period were grossly examined for ovarian cysts by 1 of 5 pathologists at Carolinas Medical Center. These ovaries were submitted without fixation in formalin. Ovaries that ruptured during surgery were excluded from the study. Any intact ovary with an ovarian cyst or cysts 2 cm or larger was aspirated using a Cameco cytologic aspirator (Cameco, Sweden) with a 20-mL syringe and a 21-gauge needle. The
Results
One hundred five ovaries from 98 women constituted the study material. The average age of the women was 45 years (range 21-75 years). Ovaries were obtained at laparotomy in 82 patients, and 16 women underwent oophorectomy during laparoscopy. All ovaries were intact and contained at least 1 ovarian cyst. Initial evaluation of the cyst fluid revealed that one half of the specimens were relatively acellular.
Histologic examination of the ovaries revealed 89 benign ovarian tumors and 13 ovarian
Comment
Discovery of an asymptomatic ovarian cyst less than 5 to 6 cm in diameter can present a diagnostic dilemma for the clinician. In premenopausal women, many ovarian cysts this size are functional cysts that spontaneously resolve. Ovarian cysts in perimenopausal and menopausal women create more concern because of the increased incidence of ovarian cancer in this age group. Unfortunately, no 1 test or combination of tests has been shown to accurately predict ovarian histologic findings. Serum tumor
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Chapter 22 - Benign Conditions of the Ovary
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