Ovarian Cysts

Posted by e-Medical PPT
General principles for management of ovarian cysts:Establish the type of cyst.
Avoiding surgery for functional cyst.
Exclude malignancy ( U/S, Doppler  and  tumor marker like Ca-125) .
Age of patient must be considered (Surgery may be  recommended in post menopausal women or in prepubertal).
Gynecologists should be aware of the role of Interventional ultrasound!!!!?

Ovarian Cysts
Non Neoplastic
  Physiological
   Follicular.   
   Theca Lutein
  Pathological        
   Endometriotic.   
   Inflammatory   
   PCOS

Neoplastic
    Epithelial Tumours
    Sex cord Tumours
    Germ cell Tumours

Ovarian Cyst Aspiration
Maybe an alternative for laparotomy or laparoscopy.
Is a matter of controversy .
 High recurrence rate.
 Unreliable cytology .
 Risk of dissemination of Neoplastic cells.

Interventional Ultrasound for Ovarian Cyst Aspiration ?
1)Functional ovarian cysts
2)Pre menopausal ov cysts
3)Ovarian cyst during second  trimester  of pregnancy .
4)Retention cysts after GnRH analogue during long protocol of A.R.T  cycle.
5)Some Endometriotic cyst
6)Ovarian cysts in fetuses         

Postmenopausal Ovarian cyst
There is no physiological Ovarian cyst cyst in postmenopausal  women
Aspiration is not recommended for the management of ovarian cysts in postmenopausal women.

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