Auslender R, Atlas I, Lissak A, Bornstein J, Atad J, Abramovici H
Department of Obstetrics and Gynecology, Carmel Medical Center, Haifa, Israel.
J Clin Ultrasound. 1996 May;24(4):175-8. doi: 10.1002/(SICI)1097-0096(199605)24:4<175::AID-JCU3>3.0.CO;2-C.
To determine the natural history of small, simple ovarian cysts in postmenopausal women, 51 postmenopausal patients with small (< 5 cm), smooth, aseptate, hypoechogenic ovarian cysts, without ascites, were followed by vaginal ultrasound examinations every 3 months for an average period of 2.5 years. In 34, CA-125 antigen was measured and found to be within normal limits. None of the cysts showed changes in texture, nor did ascites appear. The CA-125 antigen serum levels remained low. The mean size of the cysts decreased with time. There was no statistically significant correlation between the initial size of the cyst, its tendency to grow or shrink, and the absolute CA-125 serum level. Our findings support the option of a conservative follow-up by repeated ultrasonic and CA-125 antigen examinations of small, simple cysts in postmenopausal women.
为了确定绝经后妇女小型单纯性卵巢囊肿的自然病程，对51例绝经后患者进行了研究，这些患者患有小型（<5 cm）、光滑、无分隔、低回声的卵巢囊肿，且无腹水，每3个月进行一次阴道超声检查，平均随访2.5年。其中34例检测了CA-125抗原，结果显示在正常范围内。所有囊肿的质地均未发生变化，也未出现腹水。CA-125抗原血清水平一直较低。囊肿的平均大小随时间减小。囊肿的初始大小、其生长或缩小的趋势与CA-125血清绝对值之间无统计学显著相关性。我们的研究结果支持对绝经后妇女的小型单纯性囊肿进行重复超声和CA-125抗原检查的保守随访方案。
