Aubert J M, Rombaut C, Argacha P, Romero F, Leira J, Gomez-Bolea F
Hospital General de Cataluña, Barcelona, Spain.
Maturitas. 1998 Sep 20;30(1):51-4. doi: 10.1016/s0378-5122(98)00038-3.
To evaluate the expectant management of asymptomatic small, anechoic, simple ovarian cysts diagnosed by echography in postmenopausal women. To gain insight in the natural history of these cysts.
Thirty six postmenopausal women with asymptomatic ovarian cysts (from 1.5 to 5.0 cm) diagnosed by ultrasonography and with a CA 125 serum level within the normal range and a non-suspicious color Doppler were followed conservatively. Visits were scheduled at 8-10 weeks of the diagnosis, at 6-month intervals twice and annually thereafter.
The follow-up period extended from 4 to 70 months with an average of 31.5 months. There were no cases of cyst enlargement. The cysts remained unchanged in 29 cases (80.5%), decreased in size in four cases (11.1%) and disappeared in three cases (8.3%).
We think that the possibility of malignant transformation of one of these cysts is remote and the benefits of conservative management greatly outweighs its risks.
评估超声检查诊断的绝经后女性无症状小型无回声单纯性卵巢囊肿的期待治疗。深入了解这些囊肿的自然病史。
对36例经超声检查诊断为无症状卵巢囊肿（直径1.5至5.0厘米）、血清CA 125水平在正常范围内且彩色多普勒检查无异常的绝经后女性进行保守随访。诊断后8 - 10周安排首次随访，之后每6个月随访两次，此后每年随访一次。
随访时间为4至70个月，平均31.5个月。无囊肿增大病例。29例（80.5%）囊肿大小无变化，4例（11.1%）囊肿缩小，3例（8.3%）囊肿消失。
我们认为这些囊肿发生恶变的可能性很小，保守治疗的益处远大于风险。
