The ‘simple’ ovarian cyst: aspirate or operate?

  title={The ‘simple’ ovarian cyst: aspirate or operate?},
  author={Lachlan Ch. Crespigny and Hugh P. Robinson and Ruth A. M. Davoren and Denys W. Fortune},
  journal={BJOG: An International Journal of Obstetrics \& Gynaecology},
Summary. One hundred ultrasound‐guided ovarian cyst punctures were performed in 88 patients. To minimize the risk of unexpected malignancy, only persistent or painful cysts <10 cm in diameter were aspirated, cysts with solid areas or multiple locules were excluded. Cytological diagnosis was not possible in 72 of the 100 fluids; of the others 20 contained cells suggestive of follicular or luteal cysts, four samples suggested endometriosis and four benign tumours of epithelial origin. Oestradiol… 
Diagnosis and management of simple ovarian cysts: an audit.
In this retrospective study, ovarian cysts over 30 mm in diameter were detected in 90 women and the final diagnosis was ovarian neoplasm in 13 and hydrosalpinx in two women who had a malignancy.
Ovarian follicular cysts: A potential source of false positive diagnoses in ovarian cytology
The cytology samples of 22 benign ovarian cysts aspirated during laparoscopy or laparotomy were evaluated for clinicopathologic correlations and the immature appearance of the granulosa cells, the granular chromatin, and the presence of mitoses often suggested cytologically the possibility of a neoplastic process.
Management of non‐neoplastic ovarian cysts with sclerotherapy
The role of sonographically guided aspiration in the clinical management of ovarian cysts
It is concluded that FNA might be proposed in young women with a unilocular ovarian cyst to avoid a surgical procedure and in postmenopausalWomen with aunilocular cystic mass 5 cm or less, FNA may be considered as an important step in the diagnosis.
Role of puncture and aspiration in expectant management of simple ovarian cysts: a randomised study
Expectant management for up to six months does not cause risks for the patients and allows spontaneous resolution in over a third of cases, avoiding the costs and risks of unnecessary surgery.
Aspiration of Simple Pelvic Cysts during Pregnancy
The report of 10 cases where simple ovarian cysts diagnosed during pregnancy were successfully treated by sonographically guided cyst aspiration concludes that aspiration of simple cysts during pregnancy is safe, may save surgical intervention and in some cases will be the definitive treatment.
Fine needle aspiration of unilocular ovarian cysts--a cytohistological correlation.
Guided fine needle aspiration cytology may prove to be one of the most valuable and acceptable tools in the differential diagnosis of ovarian cystic lesions.
Management of ovarian cysts with aspiration and methotrexate injection.
US-guided transabdominal aspiration of cyst fluid and subsequent methotrexate injection appears to be an alternative treatment for both simple and endometriotic ovarian cysts in selected cases.
Clear ovarian cyst aspiration guided by vaginal ultrasonography.
Aspiration and tetracycline sclerotherapy for management of simple ovarian cysts
  • S. Abdrabbo, A. Atta
  • Medicine
    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
  • 1995


Ovarian Cysts in Pregnancy: Does Ultrasound Make Traditional Management Inappropriate?
A policy of selective conservative management of ovarian cysts during pregnancy on the basis of the ultrasound appearance is suggested, based on the appearance of the tumors of borderline malignancy.
The Management of Persistent Clear Pelvic Cysts Diagnosed by Ultrasonography
Removal of the cysts by excision rather than aspiration is recommended because benign ovarian neoplasms are potentially malignant, and because a large number was found in this study.
Aspiration cytology and E2 content in ovarian tumors.
It is suggested that there are few indications for the use of aspiration cytology in ovarian tumors, and fine needle puncture of ovarian tumors is neither more trouble-some nor more complicated than the well-established cytologic biopsy of the prostate.
Sonography of hemorrhagic ovarian cysts
If the pain subsides and the hematocrit remains stable, the premenopausal patient can be managed conservatively and an underlying hemorrhagic ovarian cystic neoplasm can be excluded.
Ultrasound‐Guided Puncture for Gynaecological and Pelvic Lesions
Summary: A series of 34 patients who underwent a total of 37 ultrasound‐guided cyst punctures and fine needle biopsies for diagnosis and treatment of pelvic lesions are reported. In all but 1 patient
Sonographic Patterns of Ovarian Tumors: Prediction of Malignancy
Sonographic reassessment of masses with patterns suggesting benign disease may be an alternative to immediate surgical exploration in a selected population (ie, those with poor surgical risk) and requires further improvement.
Sonography of ovarian tumors: predictability of tumor type.
This study indicates that anechoic lesions have high likelihood of being benign tumors, usually mucinous cystadenomas or serous cystadanomas, and in mixed-echogenicity tumors that are not teratomas, there was no way of distinguishing between benign and malignant lesions with an acceptable degree of accuracy in an individual case.
Cystic ovarian teratomas: the sonographic appearance of the dermoid plug.
The authors suggest that most cystic teratomas contain dermoid plugs having a characteristic shape and hyperechoic pattern.
The ultrasonic characteristics of benign and malignant cystic ovarian tumours have been reviewed and the specificity of each for confirmation or exclusion of malignancy is indicated.
The significance of the postmenopausal simple adnexal cyst.
  • D. Hall, K. McCarthy
  • Medicine
    Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
  • 1986
The 8 per cent malignancy rate in this small series suggests that the simple postmenopausal adnexal cyst may not necessarily be an ominous finding.