The ‘simple’ ovarian cyst: aspirate or operate?

@article{Crespigny1989TheO,
  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},
  year={1989},
  volume={96}
}
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… 
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    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
  • 1995
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References

SHOWING 1-10 OF 22 REFERENCES
Ovarian Cysts in Pregnancy: Does Ultrasound Make Traditional Management Inappropriate?
TLDR
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
TLDR
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.
TLDR
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
TLDR
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
TLDR
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.
TLDR
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.
TLDR
The authors suggest that most cystic teratomas contain dermoid plugs having a characteristic shape and hyperechoic pattern.
DISTINCTION OF BENIGN FROM MALIGNANT OVARIAN CYSTS BY ULTRASOUND
TLDR
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
TLDR
The 8 per cent malignancy rate in this small series suggests that the simple postmenopausal adnexal cyst may not necessarily be an ominous finding.
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