{"paper_id":"5844fa2a-6f24-4ee4-97a0-3c8dafc9e77d","body_text":"Summary\nThe case histories of 263 patients with histologically proven endometriotic cysts of the ovaries (1962–1979) were studied. The diagnosis frequency increased continuously during the observation period. Most patients were aged 35–39 years. The admission diagnosis was rarely endometriosis. The clinical picture and the extent of the disease rarely showed correlation.\nAt laparotomy 12% of the chocolate cysts had ruptured spontaneously (31 of 263) and half of the cysts ruptured during surgery without adverse effects on the postoperative course. The recurrence rate in patients treated by conservative surgery was 7%. The most frequent accompanying diseases were uterine fibroids (42%) and adenomyosis (42%). One third of the patients presented with bilateral endometriotic cysts. Further foci of endometriosis tissue were frequently found in the affected ovary (55%) and in the other pelvic organs (43%). Only 4% of the ipsilateral oviducts were closed at their fimbrial end, and only 10% showed signs of endosalpingitis.\nThe incidence of infection in endometriotic cysts — formation of an isolated ovarian abscess — was between 8% and 18%, while the risk of carcinoma was less than 1%.\nSimilar content being viewed by others\nReferences\nBeyth Y, Yaffe H, Levij J, Sadovsky E (1975) Retrograde seeding of endometrium: a sequela of tubal flushing. Fertil Steril 26: 1094\nButtram VC (1979) Conservative surgery for endometriosis in the infertile female. Fertil Steril 31: 117\nCorner GW, Hu C, Hertig AT (1950) Ovarian carcinoma arising in endometriosis. Am J Obstet Gynecol 59: 760\nCzernobilsky B, Silverman BB, Mikuta JJ (1970) Endometrioid carcinoma of the ovary. Cancer 26: 1141\nDaCosta CC (1948) Extragenital locations of endometriosis. Am J Obstet Gynecol 55: 182\nDaCosta CC (1948) Endometriosis outside the uterus. 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Am J Obstet Gynecol 129: 245\nWeigmann P (1981) Die zystische Ovarialendometriose. Inaug. Dissertation, Universität Erlangen-Nürnberg\nAuthor information\nAuthors and Affiliations\nRights and permissions\nAbout this article\nCite this article\nEgger, H., Weigmann, P. Clinical and surgical aspects of ovarian endometriotic cysts. Arch. Gynecol. 233, 37–45 (1982). https://doi.org/10.1007/BF02110677\nReceived:\nAccepted:\nIssue date:\nDOI: https://doi.org/10.1007/BF02110677","source_license":"public-domain-us","license_restricted":false}