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CYSTS
Fahad
zakwan
Introduction
Ovarian enlargements can be
cystic or solid but in most
cases ovarian enlargement are
cystic.
Non-neoplastic
Neoplastic (Ovarian Tumors)
FUNCTIONAL CYSTS
Ovarian cysts arising in the normal
process of ovulation
They may be follicular ,theca-lutein or
corpus luteum cysts.
These cysts can be stimulated by
gonadotropins, including folliclestimulating hormone (FSH) and human
chorionic gonadotropin (hCG).
Hypothyroidism
Infertility or women who are on treatment for infertility
Those taking tamoxifen, a drug to combat breast cancer
Irregular periods
Early periods (before 11 years)
Previous history of ovarian cysts.
A drug called clomiphene may lead to formation of
corpus luteum cyst.
Physical findings
A large cyst may be palpable during the
abdominal examination
Sometimes, discerning the cystic nature
of an ovarian cyst may be possible, and
it may be tender to palpation.
If a cyst is huge ,The cervix and uterus
may be pushed to one side.
Laboratory Studies:
No laboratory tests are diagnostic for
ovarian cysts except for PCOS for which
hormone assays are done:
FSH
LH
Testosterone
Oestradiol
Imaging Studies:
Ultrasonography
Doppler flow studies
MRI
CT scan
Medical Care:
Many patients with
simple ovarian cysts
based on
ultrasonography findings
do not require treatment.
Surgical Care:
Persistent simple ovarian
cysts larger than 5-10 cm and
complex ovarian cysts should
be removed surgically.
Laparotomy
Laparascopically
Pregnancy test - a
positive result may
suggest the patient
has a corpus luteum
cyst
Torsion
Rupture
Hemorrhage
?Malignant change :remains
unproven
Prognosis:
The prognosis
for benign cysts
is excellent