[Histology and cytology of laparoscopically operated "simple XXXX "].

@entity1 @entity2931 @entity42 @entity46 @entity6353 @entity9296 @entity44
In a retrospective study the histopathological findings of 127 laparoscopically operated unilocular anechoic smooth-walled @entity42 have been correlated with clinical characteristics (age, duration of observation, complaints, hormonal treatment), size by ultrasound, kind and colour of cysts content as well as cytological findings. The age of @entity1 differed from 16-61 years (mean +/- s: 36 +/- 16). The histopathologic findings yielded 15 (11.8%) functional cysts, 30 (23.6%) persistent corpus luteum cysts, 9 (7.1%) @entity46 , 7 (5.5%) cystic @entity44 , 9 (7.1%) undifferenciated cysts and 57 (44.9%) @entity9296 . There were no differences between histopathologic diagnosis groups according to age and cysts size by ultrasound. Functional cysts with complaints (n = 6) may explain that the observation time in 60% of all functional cysts was smaller than 6 weeks, whereas persistent corpus luteum cysts, @entity46 , @entity44 and @entity9296 had been observed for longer than 6 weeks in more than two thirds. Intraoperative evaluation of cysts content as " @entity6353 "-like was suspicious of @entity46 , but was also present in cysts of other histopathological findings. By means of cytology, @entity46 (siderophages) was suspected in 44.4% and a @entity9296 in 42.1% of all histopathologically verified cases. In all, the cytologic findings were useful for correct histopathological diagnosis in only 33.9% of all 127 cases. It is concluded that differential diagnosis of simple @entity42 is not possible by clinical characteristics, neither by ultrasound nor by cytological evaluation. @entity42 should be observed for at least two hormonal cycles. A hormonal treatment by combination preparations containing high doses of @entity2931 is also recommended. In cases of persisting @entity42 laparoscopic removal is necessary.
