Hurwitz A, Yagel S, Zion I, Zakut D, Palti Z, Adoni A
Department of Obstetrics and Gynecology, Hadassah University Hospital Mt. Scopus, Jerusalem, Israel.
Obstet Gynecol. 1988 Sep;72(3 Pt 1):320-2.
Between December 1981 and June 1986, 52 women examined by ultrasonography were found to have clear pelvic cysts more than 5 cm in average diameter, without septa or solid areas. The cysts were persistent and did not respond to contraceptive pills for four to eight weeks. In all cases, there were histologic or cytologic results from surgical specimens or fluid aspirated from the cysts. In 15 women, the cysts were aspirated and revealed no malignant cells. Thirty-seven women underwent laparotomy, of whom 11 (29%) were found to have benign ovarian neoplasms (nine cystadenomas and two dermoid cysts). Because benign ovarian neoplasms are potentially malignant, and because a large number was found in our study, we recommend removal of the cysts by excision rather than aspiration.
1981年12月至1986年6月期间，对52名女性进行超声检查，发现她们盆腔有平均直径超过5厘米的清晰囊肿，无分隔或实性区域。这些囊肿持续存在，服用避孕药4至8周后无反应。所有病例均有手术标本或囊肿穿刺液的组织学或细胞学结果。15名女性的囊肿进行了穿刺，未发现恶性细胞。37名女性接受了剖腹手术，其中11名（29%）被发现患有良性卵巢肿瘤（9例囊腺瘤和2例皮样囊肿）。由于良性卵巢肿瘤有潜在恶变可能，且在我们的研究中发现数量较多，我们建议通过切除而非穿刺抽吸来去除囊肿。
