Die laparoskopische Zystenpunktion als Therapieversuch

Burmucic, R; Kömetter, R.; Schrödl, P.; Zeichen, E.

doi:10.1055/s-2008-1037067

Cited by 5 publications

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“…During these 2 years every 4th of all the women with func tional cysts attended the clinic for involun tary childlessness. Among diagnostic efforts fine-needle aspiration biopsy for cytological diagnosis, steroid measurements in cystic fluid [4,5], ultrasonography [6], CT scan and laparoscopy [7,8] have been suggested. The use of fine-needle aspiration biopsy in the 31 cases of the present study was disappointing in this respect.…”

Section: Discussionmentioning

confidence: 99%

Functional Cyst or Ovarian Cancer: Histopathological Findings during 1 Year of Surgery

Eriksson¹,

Kjellgren

Schoultz³

1985

Gynecol Obstet Invest

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The histopathological findings recorded during 1 year in 101 women undergoing surgery for palpable ovarian tumors were analyzed with respect to patient age, medical history and presenting symptoms. Almost half of the women (43%) were younger than 30 years and functional cysts or normal ovaries were found in 66 out of totally 101 women. During the following 2 years 18 of these women were subjected to further gynecological surgery and 17 women were infertile. While surgical treatment of functional cysts in young women may be deleterious, 3 cases of ovarian cancer illustrate the diagnostic difficulties and the potential risk of neglecting surgery.

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Section: Discussionmentioning

confidence: 99%

Functional Cyst or Ovarian Cancer: Histopathological Findings during 1 Year of Surgery

Eriksson¹,

Kjellgren

Schoultz³

1985

Gynecol Obstet Invest

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Transvaginal sonographic characterization combined with cytologic evaluation in the diagnosis of ovarian and adnexal cysts

Yee

Greenebaum

Lerner

et al. 1994

Diagnostic Cytopathology

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A transvaginal sonographic (TVS) scoring system using morphologic features has been developed at our institution to maximize discrimination between benign and malignant ovarian and adnexal cysts. Low (4-7) or intermediate (8-9) scores have been found to correlate with benignity, hence TVS-guided or laparoscopically directed needle aspiration of low-scoring lesions may safely be performed. High-scoring lesions (10-14) are often malignant, therefore in situ needle aspiration of such lesions is not recommended. The aim of our study was to correlate the results of TVS characterization of ovarian and adnexal cysts with the aspiration cytologic evaluation. Twenty-three of the 43 cysts studied were aspirated in situ from the patient; 20 were aspirated from resected surgical specimens. Thirty-six benign cysts had TVS scores ranging from 4 to 12, with a median score of 7. All 25 cysts that were benign by TVS and/or histology were also cytologically benign as well as an additional 11 cysts that were not resected (TVS scores: 4 to 9). Seven cytologically and histologically malignant cysts had high TVS scores (TVS scores 10-14; median = 12). The combination of TVS and needle aspiration cytology is valuable, particularly in the diagnosis of cysts having low or intermediate TVS scores and benign cytology. Aspiration of cysts or masses with high TVS scores is not recommended. This combined evaluation may allow a more limited surgical approach, such as operative laparoscopy, or, in some cases, obviate the need for operative treatment altogether.

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Ovarian Surgery

Hasson¹

1989

Clinical Perspectives in Obstetrics and Gynecology

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Die laparoskopische Zystenpunktion als Therapieversuch

Cited by 5 publications

References 0 publications

Functional Cyst or Ovarian Cancer: Histopathological Findings during 1 Year of Surgery

Functional Cyst or Ovarian Cancer: Histopathological Findings during 1 Year of Surgery

Transvaginal sonographic characterization combined with cytologic evaluation in the diagnosis of ovarian and adnexal cysts

Ovarian Surgery

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