The ovaries are two almond-shaped organs on either side of the uterus in the female reproductive system in which the eggs are mature and released. Fluid-filled sacs that form in the ovaries are a normal part of menstruation and childbirth in the years after menopause.
For the vast majority of women, ovarian cysts are not precursors to cancer and do not increase the risk of developing ovarian cancer later in life. A brief description of the pathophysiology of different types of physiological neoplastic ovarian cysts and possible complications that may occur.
Estimations of the prevalence of ovarian cysts vary, but most authors report that between 8% and 18% of premenopausal and postmenopausal women had them. For example, the two most common types of follicular cysts are corpus luteum cysts associated with the menstrual cycle.
If a cyst forms after the menopause, it has a high risk of becoming carcinogenic. Large benign ovarian cysts have two variants, serous and mucolytic, and require surgery due to their enlarged size and associated symptoms. In large ovarian cysts, laparotomy (total cyst excision) is the treatment method, but in some cases laparoscopic surgery with ultrasound-guided decompression and cyst aspiration can also be performed.
A corpus luteum cyst, for example, can cause nausea, vomiting, pain and a twisted ovary. An exception is required if a woman is diagnosed with a simple cyst (less than 10 cm in diameter) by ultrasound.
The elevated levels have been linked to ovarian cancer in menopausal women. An increase of the Ca-value by 1.25 in this age group indicates a malignant disease. Malignancy rates in this patient group are higher in women with cysts of 5-10 cm diameter than in women without cysts of > 5 cm.
Pregnancy therapy seems to be appropriate for postmenopausal women with unilocular ovarian cysts who have not changed their ultrasound image and whose serum levels Ca 1.25 remain normal.
Patients with simple ovarian cysts in postmenopausal patients with breast cancer screened with tamoxifen citrate serum (CA 125) underwent a long-term transvaginal ultrasound (US) scan and daily samples were taken. Intraoperative complications delayed the entire surgical procedure. Cysts disappeared or enlarged, disappeared, reappeared or shrunk in four out of twelve patients.
If a physical exam finds an ovarian cyst, your doctor or doctor can perform or order pelvic ultrasound if it is found, or imaging examinations such as a CT scan or MRI or ultrasound can be performed for any reason. Despite years of use and experience with ultrasound scans, the criteria for dealing with ovarian cysts have changed: cysts that do not have clearly defined malignant features, do not grow or change are observed. In a study of 7,700 healthy women, only 450 ovarian cysts were found, many of which dissolved over time.