title: Value of ultrasound-guided fine-needle aspiration in the management of ovarian and paraovarian cysts.
abstract: 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 sufficient 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 >40, ultrasonographic findings), the UCE triad diagnosed six functional cysts. Therefore, 17.6% (6/34) of these young women could have avoided unnecessary surgery. Diagn. Cytopathol. 2000;22:70-80.
authors.affiliation: Department of Pathology, Centre Hospitalier Général, Roanne, France. fmallias@club-internet.fr
authors.forename: F
authors.initials: F
authors.lastname: Allias
authors.forename: J
authors.initials: J
authors.lastname: Chanoz
authors.forename: G
authors.initials: G
authors.lastname: Blache
authors.forename: F
authors.initials: F
authors.lastname: Thivolet-Bejui
authors.forename: S
authors.initials: S
authors.lastname: Vancina
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001707:Biopsy, Needle / Q000379:methods; D002648:Child; D004958:Estradiol / Q000378:metabolism; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D008875:Middle Aged; D010048:Ovarian Cysts / Q000000981:diagnostic imaging / Q000378:metabolism / Q000473:pathology*; D010310:Parovarian Cyst / Q000000981:diagnostic imaging / Q000378:metabolism / Q000473:pathology*; D015203:Reproducibility of Results; D014463:Ultrasonography
chemical_list: D004958:Estradiol