Management of ovarian cysts

Autor: Erik Soegaard Andersen, Kim Toftager-Larsen, Jens Joergen Kjer, Suzanne Hahn-Pedersen, Ole Mogensen, Ulla Breth Knudsen, Ann Tabor, Berit Jul Mosgaard
Rok vydání: 2004
Předmět:
Zdroj: Acta Obstetricia et Gynecologica Scandinavica. 83:1012-1021
ISSN: 0001-6349
DOI: 10.1111/j.0001-6349.2004.00607.x
Popis: Background. The treatment of an ovarian cyst relies on its nature, and accurate preoperative discrimination of benign and malignant cysts is therefore of crucial importance. This study was undertaken to review the literature concerning the preoperative diagnosis and treatment of ovarian cysts. Methods. Articles concerning ovarian cysts from amedlineliterature search during the period 1985-2003 were included in addition to articles found as references in the initial publications. Results. Different methods for discriminating between benign and malignant ovarian cysts are discussed. The diagnosis and the treatment are assessed in relation to age, menopausal status, pregnancy, and whether the cyst is presumed to be benign or malignant. In general, expectant management is the choice in premenopausal and pregnant women with non-suspicious cysts and normal levels of CA-125. In postmenopausal women, unilocular, anechoic cysts less than 5 cm in diameter together with a normal CA-125 may be followed up. Operation ...
Databáze: OpenAIRE