Evaluation of surgery in simple ovarian cysts.
OBJECTIVE
To evaluate the surgery in simple ovarian cysts.


METHODS
From Jan. 1994 to Dec. 1999, 221 women with simple ovarian cysts were admitted into our hospital. The diameter of cysts was < 5 cm in 76 cases, and was > or = 5 cm in 145 cases ultrasonically. One hundred and eighty-four patients underwent laparoscopy, and thirty-seven underwent laparotomy.


RESULTS
Histological findings showed no malignancy in this series. Simple cysts, paraovarian cysts and corpus luteum were found histologically in 90.8% of cases with cysts < 5 cm, and 60% of those with cysts > 7 cm respectively, their difference was significant (chi2=37.13, P<0.001). The simple cysts, paraovarian cysts and corpus luteum cysts were found in 81.5% of postmenopausal women and 84.0% of premenopausal women.


CONCLUSIONS
Patients with cysts > 7 cm are indicated for surgical procedures, while a period of followup is acceptable for patients with cysts < 7 cm, and surgery is advisable if the cyst is persistent during followup. Postmenopausal women with cysts should have operations.
Xiaoman
Ding
D
Department of Gynecology and Obstetrics, Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100730.
Jinhua
Leng
L
Jinghe
Lang
L
Huajun
Li
L
D004715:Endometriosis / Q000000981:diagnostic imaging / Q000601:surgery; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007813:Laparotomy; D010048:Ovarian Cysts / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D010049:Ovarian Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D010051:Ovarian Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery; D013724:Teratoma / Q000000981:diagnostic imaging / Q000601:surgery; D014463:Ultrasonography