Transvaginal aspiration of ovarian cysts: prognosis based on outcome over a 12-month period.

Abstract

The success of transvaginal aspiration of ovarian cysts in terms of cyst dimensions, location, and content and the age of the women was evaluated in 35 women aged 17 to 76 years old. Three parameters proved important in predicting the outcome of aspiration: age of the woman (higher age = poorer prognosis for cure), maximum diameter of the cyst (larger diameter = poorer prognosis), and location (left-sided cysts have a poorer prognosis). Prognosis based on outcome indicates aspiration of large cysts should be avoided in older women.

CA-125 and Carcinoembryonic Antigen Assay vs. Cytodiagnostic Experience in the Classification of Benign Ovarian Cysts

“…3,6,7,9 The reported frequency of nondiagnostic ovarian cyst aspirates varies from 5% to 47%. 3,4,10,16,18 False negative and nondiagnostic interpretations for carcinoma have been reported even by experienced and expert pathologists [2][3][4][5][6][7][9][10][11]14,16 (Table IV). While the presence of mucin, cilia and keratinized squames aids in the classification of epithelial cysts, often these readily recognized features are lacking.…”

“…Our observation that small cyst size (< 3 cm) may support a diagnosis of a functional cyst has been observed previously. 3,5,18 However, there exists an overlap in size between functional and epithelial cysts; hence, size alone cannot be used as the sole basis for this distinction. The sensitivity of cytologic diagnosis of follicular cysts in our study (20-66%), depending on the pathologist, was similar to that described by Mulvany.…”

“…These include unilocular cysts smaller than 5 cm and large complex (solid and cystic) and multilocular cysts, 3 some with ultrasound features favoring malignancy. 3,6,18 Also, pathologists' experience is variable and rarely stated. In our study, the diameter of follicular/lutein cysts measured 0.5-5.0 cm (mean, 2.7), whereas epithelial cysts measured 1.5-31 cm (mean, 9.0).…”

Sonographically guided therapeutic aspiration of benign-appearing ovarian cysts and endometriomas.

“…Although several studies have advocated the aspiration of anechoic,nonseptated,unilocular cysts [ 1â€" 4]; othersopposethe approach,citing the pos sibility of an occult malignancy and the high recurrencerate [5â€" 1 1]. Aspiration of en dometriomas has been universally discour aged [3,4,6,9], primarily because of the high recurrencerate. However, patientswith en dometriosis often have had multiple surgeries and extensive peritoneal adhesion formation, and these patients would most benefit from a more conservative approach such as sono graphically guided aspiration.…”

Pelvic Aspiration and Biopsy in the Female Patient

“…The advent of endocavitary ultrasound probes has revolutionized in the female pelvis. The main endocavitary routes used in the pelvis are transvaginal 4,5,7 and transrectal. 12 In the female pelvis, we predominantly use the transvaginal approach.…”