Value of ultrasound-guided fine-needle aspiration in the management of ovarian and paraovarian cysts

✍ Scribed by Fabienne Allias; Jacques Chanoz; Gilles Blache; Françoise Thivolet-Bejui; Serge Vancina

• Publisher: John Wiley and Sons
• Year: 2000
• Tongue: English
• Weight: 500 KB
• Volume: 22
• Category: Article
• ISSN: 8755-1039
• DOI: 10.1002/(sici)1097-0339(200002)22:2<70::aid-dc3>3.0.co;2-j

✦ Synopsis

This study was designed to assess if cytology was accurate for an appropriate diagnosis of ovarian and paraovarian cysts, and if the ultrasound-cytology-estradiol (UCE) triad was suffıcient to discriminate functional vs. nonfunctional cysts, the latter requiring surgical resection. One hundred twenty-two ultrasound-diagnosed adnexal cysts were punctured and surgically removed, and then subjected to cytologic and histologic examinations; 90 of these fluids were assayed for estradiol. Histologically, 30 cysts were functional and 92 were nonfunctional. A correct discrimination between functional and nonfunctional origin was obtained in 54.9% of cases with cytology, in 94.4% with estradiol assay, in 50.8% with ultrasonography, and in 97.8% with these three examinations combined (UCE triad). Among the 34 patients with no criteria of neoplastic origin (age Ͼ40, ultrasonographic findings), the UCE triad diagnosed six functional cysts. Therefore, 17.6% (6/34) of these young women could have avoided unnecessary surgery.