ASSESSMENT OF UNILOCULAR OVARIAN CYSTS IN PREMENOPAUSAL WOMEN USING TRANSVAGINAL ULTRASONOGRAPHY, ASPIRATION CYTOLOGY AND ESTRADIOL CONTENT
Ghanem, M., Abdel-Hady, E., Abdel-Fattah, R., Anwar, K., Nezar, M., Abo-Hashem, L., Gebreel, A. (2006). ASSESSMENT OF UNILOCULAR OVARIAN CYSTS IN PREMENOPAUSAL WOMEN USING TRANSVAGINAL ULTRASONOGRAPHY, ASPIRATION CYTOLOGY AND ESTRADIOL CONTENT. EKB Journal Management System, 10(1), 25-30. doi: 10.21608/egyfs.2006.4994
Mohamed Ghanem; El-Said Abdel-Hady; Rafat Abdel-Fattah; Kamal Anwar; Mohamed Nezar; lkbal Abo-Hashem; Ahmed Gebreel. "ASSESSMENT OF UNILOCULAR OVARIAN CYSTS IN PREMENOPAUSAL WOMEN USING TRANSVAGINAL ULTRASONOGRAPHY, ASPIRATION CYTOLOGY AND ESTRADIOL CONTENT". EKB Journal Management System, 10, 1, 2006, 25-30. doi: 10.21608/egyfs.2006.4994
Ghanem, M., Abdel-Hady, E., Abdel-Fattah, R., Anwar, K., Nezar, M., Abo-Hashem, L., Gebreel, A. (2006). 'ASSESSMENT OF UNILOCULAR OVARIAN CYSTS IN PREMENOPAUSAL WOMEN USING TRANSVAGINAL ULTRASONOGRAPHY, ASPIRATION CYTOLOGY AND ESTRADIOL CONTENT', EKB Journal Management System, 10(1), pp. 25-30. doi: 10.21608/egyfs.2006.4994
Ghanem, M., Abdel-Hady, E., Abdel-Fattah, R., Anwar, K., Nezar, M., Abo-Hashem, L., Gebreel, A. ASSESSMENT OF UNILOCULAR OVARIAN CYSTS IN PREMENOPAUSAL WOMEN USING TRANSVAGINAL ULTRASONOGRAPHY, ASPIRATION CYTOLOGY AND ESTRADIOL CONTENT. EKB Journal Management System, 2006; 10(1): 25-30. doi: 10.21608/egyfs.2006.4994

ASSESSMENT OF UNILOCULAR OVARIAN CYSTS IN PREMENOPAUSAL WOMEN USING TRANSVAGINAL ULTRASONOGRAPHY, ASPIRATION CYTOLOGY AND ESTRADIOL CONTENT

The Egyptian Journal of Fertility of Sterility
Article 4, Volume 10, Issue 1, January 2006, Page 25-30  XML PDF (458.37 K)
Document Type: Original Article
DOI: 10.21608/egyfs.2006.4994
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Authors
Mohamed Ghanem1; El-Said Abdel-Hady2; Rafat Abdel-Fattah3; Kamal Anwar4; Mohamed Nezar3; lkbal Abo-Hashem5; Ahmed Gebreel2
1Departments of Obstetrics & Gynaecology, , Mansoura University Teaching Hospital, Mansoura, EGYPT.
2Departments of Obstetrics & Gynaecology, Mansoura University,Teaching Hospital, Mansoura, EGYPT.
3Departments of Obstetrics & Gynaecology, , Mansoura University,Teaching Hospital, Mansoura, EGYPT.
4Departments of Obstetrics & Gynaecology, , Mansoura University,Teaching Hospital, Mansoura, EGYPT.
5Clinical Pathology, Mansoura University Teaching Hospital, Mansoura, EGYPT.
Abstract
Objectives: To assess the diagnostic accuracy of transvaginal ultrasound, aspiration cytology and estradiol content alone
and in triad in the discrimination between functional and nonfunctional unilocular ovarian cysts in premenopausal
women. Methods: Premenopausal women (n;;; 18) with unilocular ovarian cysts undergoing laparoscopy were recruited.
Intracystic fluid was obtained by needle aspiration and subjected to cytology and estradiol content. The cyst wall that
was removed during laparoscopy/laparotomy was subjected to histopathology as a gold standard. Cysts were classified
into functional or non-functional according to the results of transvaginal ultrasonography, cytology and estradiol
content. Results: The diagnostic accuracy of transvaginal sonography was 61 %, cytology 72 %.and estradiol content 83 % in differentiating unilocular ovarian cysts into functional and non-functional. When the triad was used in combination, the diagnostic accuracy was increased to 94 %. Conclusion: Aspiration of unilocular ovarian cysts based on assessment by transvaginal ultrasound alone may not be sufficient. The addition of cytology and estradiol content increased the diagnostic accuracy. This triad can reduce the number of unnecessary laparotomies especially in young subfertile women.
Keywords
ovarian cysts; Ultrasonography; cytology and estradiol content
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