The risk of malignancy with an apparently simple adnexal cyst on ultrasound

Obwegeser R, R. Obwegeser, Deutinger J, J. Deutinger, Bernascheck G, G Bernascheck
Archives of gynecology and obstetrics · 1993 · doi:10.1007/BF02767327 · PMID:8250597
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Of 144 operated patients with apparently simple adnexal cysts, only three were malignant, all in postmenopausal women, with diameters of 7, 11, and 18 cm.

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This paper reports surgical data from 144 patients in Vienna who had persisting sonographically detected “simple” adnexal cysts and were operated on, with subsequent histology used to determine malignancy. Only 3 cysts (one borderline) were malignant, and all occurred in postmenopausal patients; the malignant cysts had mean diameters of 7, 11, and 18 cm. The authors also describe that many “simple” cysts were benign on pathology, while others were associated with chronic pelvic sepsis (including hydrosalpinx and pseudocysts), benign cystadenomas, and a smaller number of endometriotic cysts. This paper relates to endometriosis because 10 of the pathologically benign “simple” cysts were endometriotic.

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Abstract

We received data of 144 patients, who had been operated upon in the 2nd Department of Obstetrics and Gynecology in Vienna because of persisting sonographically detected "simple" adnexal cysts. Only 3 cysts were malignant (one of them borderline). All three patients were postmenopausal. The mean diameter of the malignant cysts were 7, 11 and 18 cm, respectively. 82 sonographically simple cysts were histologically benign. We found 27 cysts associated with chronic pelvic sepsis (hydrosalpinx and pseudocysts), 22 were benign cystadenomas and 10 were endometriotic.
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Summary We received data of 144 patients, who had been operated upon in the 2nd Department of Obstetrics and Gynecology in Vienna because of persisting sonographically detected “simple” adnexal cysts. Only 3 cysts were malignant (one of them borderline). All three patients were postmenopausal. The mean diameter of the malignant cysts were 7, 11 and 18 cm, respectively. 82 sonographically simple cysts were histologically benign. We found 27 cysts associated with chronic pelvic sepsis (hydrosalpinx and pseudocysts), 22 were benign cystadenomas and 10 were endometriotic. Similar content being viewed by others References Andolf E, Jörgenson C (1989) Cystic lesions in elderly women, diagnosed by ultrasound. B J Obstet Gynecol 96: 1076–1079 Fleischer AC, Rodgers WH, Kepple DM, Williams LL, Jones HW (1992) Color Doppler sonography of benign and malignant ovarian masses. Radiographics 12: 879–885 Granberg S, Wikland M, Jansson I (1989) Macroscopic characterization of ovarian tumors and relation to the histological diagnosis: criteria to be used for ultrasound evaluation. Gynecol Oncology 35: 139–144 Hall DA, Mc Carthy K (1986) The significance of the postmenopausal simple adnexal cyst. J Ultrasound Med 5: 503–505 Herrmann UJ, Locher GW, Goldhirsch A (1987) Sonographic patterns of ovarian tumors: prediction of malignancy. Obstet Gynecol 69: 777 Luxman D, Bergmann A, Sahi J, David MP (1991) The postmenopausal adnexal mass: correlation between ultrasonic and pathologic findings. Obstet Gynecol 77: 726–728 Rosenberg RO, Trought W (1981) The ultrasonographic evaluation of large cystic pelvic masses. Am J Obstet Gynecol 139: 579 Author information Authors and Affiliations Rights and permissions About this article Cite this article Obwegeser, R., Deutinger, J. & Bernascheck, G. The risk of malignancy with an apparently simple adnexal cyst on ultrasound. Arch Gynecol Obstet 253, 117–120 (1993). https://doi.org/10.1007/BF02767327 Received: Accepted: Issue date: DOI: https://doi.org/10.1007/BF02767327

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Condition tags

endometriosis

MeSH descriptors

Cystadenocarcinoma, Serous Cystadenoma, Mucinous Cystadenoma, Serous Ovarian Cysts Ovarian Neoplasms Adult Cystadenocarcinoma, Serous Cystadenocarcinoma, Serous Cystadenoma, Mucinous Cystadenoma, Mucinous Cystadenoma, Serous Cystadenoma, Serous Diagnosis, Differential Endometriosis Endometriosis Endometriosis Female Humans Middle Aged Ovarian Cysts

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