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绝经后女性附件囊肿的患病率及组织学诊断:一项尸检研究

Prevalence and histologic diagnosis of adnexal cysts in postmenopausal women: an autopsy study.

作者信息

Dørum Anne, Blom Gustav P, Ekerhovd Erling, Granberg Seth

机构信息

Department of Gynecological Oncology, The Norwegian Radium Hospital, Oslo, Norway.

出版信息

Am J Obstet Gynecol. 2005 Jan;192(1):48-54. doi: 10.1016/j.ajog.2004.07.038.

DOI:10.1016/j.ajog.2004.07.038
PMID:15672002
Abstract

OBJECTIVE

The purpose of this autopsy study was to examine the prevalence and histologic condition of adnexal cysts in postmenopausal women.

STUDY DESIGN

Adnexa of 234 postmenopausal women who had died from nongynecologic diseases were examined by the team pathologist.

RESULTS

Ovarian cysts were found in 36 of the women (15.4%). Nine women (3.8%) had ovarian cysts with a diameter between 20 and < or =50 mm; 4 women (1.7%) had cysts that were >50 mm in diameter. Four women had bilateral ovarian cysts. Paraovarian cysts were found in 11 women (4.7%). All cysts were benign, except for 1 woman, who had bilateral serous cystadenoma of borderline type. Macroscopically, the borderline cysts were multilocular with mean diameters of 60 mm and 15 mm, respectively.

CONCLUSION

Because of the high prevalence of benign adnexal cysts, the identification of small unilocular cysts in postmenopausal women should be regarded as a normal finding.

摘要

目的

本尸检研究的目的是检查绝经后女性附件囊肿的患病率及组织学状况。

研究设计

由病理团队对234例死于非妇科疾病的绝经后女性的附件进行检查。

结果

36例女性(15.4%)发现有卵巢囊肿。9例女性(3.8%)有直径在20至≤50毫米之间的卵巢囊肿;4例女性(1.7%)有直径大于50毫米的囊肿。4例女性有双侧卵巢囊肿。11例女性(4.7%)发现有卵巢旁囊肿。除1例患有双侧交界性浆液性囊腺瘤的女性外,所有囊肿均为良性。大体上,交界性囊肿为多房性,平均直径分别为60毫米和15毫米。

结论

由于良性附件囊肿的患病率较高,绝经后女性中发现的小单房囊肿应视为正常发现。

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