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1

Sundari, Ayu, Riki Andri Yusda, and Tika Christy. "WEB-BASED EXPERT SYSTEM TO DIAGNOSE OVARIAL CYST DISEASE USING CERTAINTY FACTOR METHOD." Jurnal Teknik Informatika (Jutif) 3, no. 5 (October 24, 2022): 1337–48. http://dx.doi.org/10.20884/1.jutif.2022.3.5.362.

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Ovarian cysts are one of the most common forms of reproductive disease affecting women. Cyst or tumor is a form of abnormality that can be regarded as a benign growth of smooth muscle cells in the ovaries. Cysts are usually harmless but do not rule out the possibility of a malignant cyst or even turn into cancer. The thing that makes ovarian cysts dangerous is when they burst, are very large, or block the blood supply to the ovaries. Lack of knowledge of the general public about the symptoms that cause ovarian cyst disease makes it too late to detect this disease early so it is slow in handling, there are even some cysts or tumors which when they become malignant are only detected as having ovarian cysts, as well as unhealthy lifestyles of today's society such as consuming alcohol, fast food, causing the body to produce more chemicals. To overcome this problem, the design of a web-based expert system to diagnose ovarian cyst disease using the certainty factor method is made to assist the public or users in diagnosing through the symptoms they feel. The method used to diagnose ovarian cyst disease is the Certainty Factor method. From the calculations that have been inputted by the user, the results obtained are 97% confidence that the patient is likely to be diagnosed with cystadenoma ovarii mucinosum. With this web-based expert system program, it is hoped that the general public or users can diagnose ovarian cyst disease through the symptoms felt so as to minimize the possibility of the cyst becoming malignant.
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2

Nakamura, Manabu, Keisuke Ishii, Masaharu Murata, Jun Sasahara, and Nobuaki Mitsuda. "Postnatal Outcome in Cases of Prenatally Diagnosed Fetal Ovarian Cysts under Conservative Prenatal Management." Fetal Diagnosis and Therapy 37, no. 2 (August 1, 2014): 129–34. http://dx.doi.org/10.1159/000365146.

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Aim: To evaluate the outcome of cases of prenatally diagnosed fetal ovarian cyst under conservative prenatal management. Methods: This retrospective cohort study included patients diagnosed between January 2005 and August 2013. They were managed expectantly during pregnancy and followed up until spontaneous regression of the cyst or postnatal surgery. The outcomes of fetal ovarian cysts were compared combined appearance as being simple or complex at prenatal scan and maximum size of cysts ≥40 or <40 mm. Results: There were 33 study cases. Prenatally 3/33 cases (9%) had spontaneous cyst regression during pregnancy. 14 cysts (42%) were treated surgically, of which torsion was confirmed in 4 (29%). Another 14/33 cases (42%) regressed spontaneously under conservative management after birth. The ovaries could be preserved in 28 patients (85%). The incidence of torsion between complex cysts and simple cysts was not statistically different. The incidence of torsion between patients with cyst size ≥40 and <40 mm was similar. Conclusions: The ovaries could be preserved in approximately 85% of patients under conservative management. The present study could not reveal the significance of prenatal ultrasonographic findings of fetal ovarian cyst for predicting the outcome of patients' ovaries.
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3

Siahaan, Dwi Lunarta. "LAPAROSKOPI PADA PASIEN KISTA OVARIUM PERMAGNA DENGAN ANESTESI SPINAL." Majalah Ilmiah METHODA 11, no. 2 (August 31, 2021): 149–55. http://dx.doi.org/10.46880/methoda.vol11no2.pp149-155.

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Ovarian cysts is one of the most common gynaecology benign tumour found in women in their reproductive years. Ovarian cysts consist of fluid-filled pockets such as water-filled balloons in the ovaries. Permagna ovarian cyst is a cyst with a diameter exceeding 10 cm. Clinical manifestations that occur can include abdominal discomfort, difficulty urinating, pelvic pain, and pain during intercourse and menstrual disorders. Medical management that can be performed in patients with ovarian cysts is by hormonal and surgical treatment. Through surgery, management of ovarian cysts can be done with laparotomy or laparoscopy. Laparoscopy surgery of ovarian cysts requires anesthesia. It is known that laparoscopy procedures are usually performed under general anesthesia due to respiratory changes caused by pneumoperitoneum. However, the use of spinal anesthesia has emerged as an alternative choice for laparoscopy because of its safe use. Anesthesia management was reported in 22 years old patient with Permagna Ovarian Cyst who performed laparoscopic surgery. Anesthesia technique with spinal anesthesia using bupivacaine hcl 0.5% 20 mg added pethidine 25 mg. During operation, patient was sedated with midazolam 2.5-5 mg intravenous, hemodynamic was stable and patient also comfortable until operation finished.
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4

Patel, Dipti Manojbhai, and Seema N. Baxi. "Histopathological and Clinicopathological Co-Relation of Non-Neoplastic Cystic Lesions in Surgically Removed Ovaries." Annals of Pathology and Laboratory Medicine 7, no. 6 (July 7, 2020): A294–300. http://dx.doi.org/10.21276/apalm.2757.

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Introduction: Neoplastic ovarian lesions have been extensively studied, but less attention is paid to non-neoplastic cystic lesions. Though follicular cysts are the most common of the non-neoplastic cysts, the % of occurrence of individual non-neoplastic lesions is not known. Also, often there is dilemma in reporting the exact type of nonneoplastic cyst. This study was planned with the objectives of assessing percentage of non neoplastic cystic ovaries, determining the morphological forms and relation of the various cysts with age of patient, and to detect whether multicystic non neoplastic lesions are more frequent in present day. Materials and methods: A prospective hospital based cross sectional non-neoplastic ovarian cysts study was done between January to June 2019 in a tertiary hospital. All hysterectomy specimens with the accompanying ovary/ovaries and oophorectomy specimen were included. Microscopic features were assessed. Data was tabulated in MS excel sheet. Percentage of occurrences of age, size, morphological type, laterality and complaints were calculated. Result:50% of 193 ovaries had non neoplastic cystic lesions. Non neoplastic cysts were associated with fibroid in 54%, DUB in 17% and adenomyosis in 16% cases. They were seen commonly during reproductive age group(83%). Post-menopausal age showed 16% cases. 86% of the non neoplastic ovarian cystic lesions were unilateral. 20% non neoplastic cystic lesions were of <1cm, 74% were 1-5 cm in size and 5% were larger than 5 cm. Morphologically 40% were follicular lesions, 32% were simple serous cysts, 14% were haemorrhagic cysts, 8% corpus luteal cysts and 2% each theca lutein and epithelial inclusion cysts. Conclusion: Non neoplastic cystic ovaries comprised 50% of all ovarian lesions, 83% were seen during reproductive age group. Leiomyoma, dysfunctional uterine bleeding and adenomyosis were the common clinical features and 70% of the cysts were 1-5 cm in size. There was no relation between morphological types of the cystic lesions and functional status. Simple serous cyst, cystic follicle, follicular cyst, cystic corpus luteum, corpus luteal cyst, theca luteal cyst, epithelial inclusion cyst and haemorrhagic cyst were found of which follicular cyst was the commonest (40%) Multicystic non neoplastic lesions or polycystic ovaries were not found during the period of study.
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Hara, Takeya, Kazuya Mimura, Masayuki Endo, Makoto Fujii, Tatsuya Matsuyama, Kazunobu Yagi, Yoko Kawanishi, Takuji Tomimatsu, and Tadashi Kimura. "Diagnosis, Management, and Therapy of Fetal Ovarian Cysts Detected by Prenatal Ultrasonography: A Report of 36 Cases and Literature Review." Diagnostics 11, no. 12 (November 28, 2021): 2224. http://dx.doi.org/10.3390/diagnostics11122224.

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Background: Fetal ovarian cysts are the most frequently diagnosed intra-abdominal cysts; however, the evidence for perinatal management remains controversial. Methods: We retrospectively reviewed cases of fetal ovarian cysts diagnosed by prenatal ultrasonography at our institution between January 2010 and January 2020. The following were investigated: gestational age at diagnosis, cyst size, appearance, prenatal ultrasound findings, and postnatal outcomes. Prior to 2018, expectant management was applied in all cases; after 2018, in utero aspiration (IUA) of simple cysts ≥40 mm was performed. Results: We diagnosed 29 and seven simple and complex cysts, respectively. Fourteen patients had simple cysts with a maximum diameter <40 mm, and two of them progressed to complex cysts during follow-up; however, when the diameter was limited to <35 mm, no cases showed progression to complex cyst. Fifteen of the simple cysts were ≥40 mm; three progressed to complex cysts, and two of them were confirmed to be ovarian necrosis. In four patients who underwent IUA, the ovaries could be preserved. Conclusions: IUA is a promising therapy for preserving ovaries with simple cysts ≥40 mm in diameter; however, the indications for fetal surgery and the appropriate timing of intervention require further study.
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6

Mittal, Megha, Monika Sharma, and Natasha Yadav. "AYURVEDIC MANAGEMENT OF COMPLEX OVARIAN CYST- A CASE REPORT." International Ayurvedic Medical Journal 12, no. 03 (March 16, 2024): 706–10. http://dx.doi.org/10.46607/iamj3712032024.

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Cysts in the ovaries can be simple or complex. Ovarian cysts classified as complexes include either blood or a solid material. In routine gynaecological practice, ovarian cystic masses are a prevalent concern. The prevalence of ovarian cysts varies greatly, according to data. According to reports, ovarian cysts affect 8–18% of women who are postmenopausal and premenopausal. The majority of the cysts are asymptomatic and are only found via standard ultrasonography. Some of them are very symptomatic, making it difficult for women to go about their daily lives. The size of the cysts has a significant impact on the symptoms. In modern times, therapy options include combined oral contraceptive pills and surgery to address cysts that don't go away after three months. Due to the numerous adverse effects of oral contraceptives, there is a growing need for other forms of management, particularly among patients who prefer not to undergo surgery. Ayurveda treats ovarian cysts under the general category of Granthi, where they are associated explicitly with Kaphaja Granthi. Treatment for an 18-year-old female patient who had a complicated left ovarian cyst with cystitis, dyspareunia, burning micturition, and significant lower abdominal pain was based on Ayurvedic principles. The patient was administered Srotosanghar Churn, Granthihar Kwath, Capsule Liv Fit, Search Cordial capsule, and Search Cordial syrup for one month. A follow-up USG revealed that the cyst had disappeared entirely, and the symptoms had decreased significantly. The current study highlights how Ayurveda can help control ovarian cysts beneficially.
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7

Aditia, Donny, and Andi Dwihantoro. "Pediatric Patient with Omental Cyst: A Rare Case (CT scan is not Enough to Differentiate from Other Abdominal Cysts)." Lietuvos chirurgija 22, no. 4 (November 29, 2023): 249–52. http://dx.doi.org/10.15388/lietchirur.2023.22(4).8.

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Background. Omental cysts are rare intra-abdominal tumors in children. It is challenging to diagnose since other big abdominal cysts are difficult to distinguish from in clinical and CT imaging. Aim. This case report aims to accurately and thoroughly determine the diagnosis based on the anamnesis, clinical and imaging examinations to choose the best treatment for the patient. Case Report. A 4-year-old girl reported having an enlarged belly in the past two months; the anamnesis provided the diagnosis. A mobile, 15 cm by 15 cm mass with dull percussion was discovered during clinical investigations in the top border. It was determined by anamnesis, physical examination, and imaging that the diagnosis was an ovarian cyst. Instead of an ovarian cyst, we found an omental cyst during the operation, thus we had to conduct an excision and omentectomy and postoperatively achieved favorable results. She was discharged three day after. Discussion. An abdominal CT scan showed an ovarian cyst. In laparotomy, we found a giant omental cyst, not originating from the ovaries, and did an omentectomy to excision the cyst. CT scan shows that the giant abdominal cyst is difficult to distinguish between omental, mesenteric, and ovarian cysts. Precise identification of stomach cysts is necessary. Also, doctors need to read the CT scan image more carefully. Conclusion. Giant omentum cysts are difficult to distinguish clinically and imaging from ovarian and mesenteric cysts. There is a need for a more detailed history, physical examination, and support, as well as a more thorough reading of the CT scan.
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8

Tihonenko, I. V. "Ultrasound features of prenatally diagnosed ovarian cysts: what is important for the prognosis." Russian Journal of Woman and Child Health 5, no. 4 (2022): 287–91. http://dx.doi.org/10.32364/2618-8430-2022-5-4-287-291.

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Aim: to assess the outcomes of prenatally diagnosed ovarian cysts and to identify ultrasound features associated with the prognosis of surgical treatment Patients and Methods: this retrospective study evaluated 59 fetal ovarian cysts diagnosed during ultrasound screening in the prenatal ultrasound center. The following parameters were reviewed: parity, maternal age, time of prenatal diagnosis, ultrasound cystic features and structure, and the outcomes of fetal ovarian cysts. Results: fetal ovarian cysts were detected during pregnancy in women with a median age of 30.6 years (17–42 years), 40.7% of them were primipara. A median gestational age at the date of prenatal cyst diagnosis was 33.5 (21.2–38) weeks of pregnancy. In 25.4% of cases the ovarian cysts had complex echotexture, and in 33.2% of cases a cyst diameter was ≥40 mm. In 32.2% of cases, the cysts were located at some distance from the bladder; 39% of the cysts were fully or partially visualized in the abdomen. The spontaneous cyst resolution by the time of delivery was reported in 37.3% of cases, including 40% of complex cysts. After birth, 35.6% of ovarian cysts disappeared and 20% of complex cysts demonstrated regression. Also, the regression occurred in 26.3% of cysts ≥ 40 mm. Overall, spontaneous resolution was reported for 60% of complex cysts, 42.1% of cysts ≥40 mm, 52.6% of cysts distinct from the bladder and 56.5% of cysts located in the abdomen. Postnatal surgery was performed in 27.1% of the newborn girls. The likelihood of surgical treatment was higher in the newborns with prenatal cysts ≥ 40 mm comparing to cysts < 40 mm (odds ratio (OR), 7.78 (95% confidence interval (CI), 2.12–28.53)) and cysts located in the abdomen comparing to cysts located in the fetal pelvis (OR, 16.25 (95% CI, 3.84–68.82)). No correlation was found between ultrasound features of ovarian cysts and torsion Conclusion: the ultrasound features of prenatally diagnosed ovarian cysts which are important for predicting a higher risk of postnatal surgical procedures include the cyst diameter (≥ 40 mm) and the location (especially in the abdomen). These factors should be taken into consideration for choosing a maternity hospital and prenatal consulting of parents. KEYWORDS: fetal ovarian cyst, prenatal diagnosis, ultrasound features, outcome, prognosis. FOR CITATION: Tihonenko I.V. Ultrasound features of prenatally diagnosed ovarian cysts: what is important for the prognosis. Russian Journal of Woman and Child Health. 2022;5(4):287–291 (in Russ.). DOI: 10.32364/2618-8430-2022-5-4-287-291.
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9

Perveen, Rehana, and Mirza MD Asaduzzaman. "Massive Ovarian Enlargement with Multiple Cysts Mimicking Ovarian Neoplasm and Primary Hypothyroidism." Bangladesh Journal of Obstetrics & Gynaecology 33, no. 1 (July 3, 2020): 78–81. http://dx.doi.org/10.3329/bjog.v33i1.43553.

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Background: Cystic enlargement of ovaries may develop due a large number of causesand may need surgical intervention. Moreover, some ovarian cysts arise due to endocrinedisorders & do not require surgery. We report an unusual case of massive enlargement ofovaries with multiple cysts in a girl with severe hypothyroidism. Morphologic features ofcysts on ultrasonography and clinical features of hypothyroidism with elevated TSH levelfacilitates diagnosis of multiple ovarian cysts and hypothyroidism. Case presentation: A 23-year-old unmarried woman presented with abdominal enlargement,pain and moderate anemia. Abdominal ultra sonogram revealed huge enlargement of theovaries with multiple large cysts. She was admitted in a hospital, treated with blood transfusionand laparotomy was decided. She was referred to us in a private clinic. On further evaluation, she had features of hypothyroidism with high TSH level and abdomino-pelvic ultrasoundrevealed enlarged ovaries with multiple large thin-walled cysts and mild ascitis. Conservativemanagement with thyroxin replacement therapy was given and after 3 weeks of thyroxine(T4) therapy, follow-up abdominal ultrasound showed significant reduction in ovarian size.After 4 months of thyroxine therapy, ovarian size normalized, cysts disappeared completelyand there was significant improvement of patient’s condition and she became euthyroid. Conclusion: This case report highlights the rare association between hypothyroidism andmulticystic ovarian enlargement. It is necessary to keep in mind the possibility ofhypothyroidism in the differential diagnosis of adult patients with ovarian enlargement andmultiple cyst formation in order to prevent unnecessary ovarian surgery. Bangladesh J Obstet Gynaecol, 2018; Vol. 33(1) : 78-81
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10

Arinda, Dhea, Dewi Anggraini, and Meitria Syahadatina Noor. "DETERMINAN KEJADIAN KISTA OVARIUM PADA WANITA USIA SUBUR DI KABUPATEN BALANGAN MENGGUNAKAN REGRESI LOGISTIK BINER." RAGAM: Journal of Statistics & Its Application 1, no. 1 (December 23, 2022): 101. http://dx.doi.org/10.20527/ragam.v1i1.7409.

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Ovarian cysts are the most common gynecologic cases of many gynecologic cancers. Ovarian cyst is a disease that causes many deaths. This high mortality rate is due to the fact that the disease is initially asymptomatic and only causes complaints when metastases have occurred so that 60-70% of patients come at an advanced stage. Based on the results of the 2007 Basic Health Research survey, the number of patients with ovarian cysts in South Kalimantan was 1,2% of 56 respondents. This study took a case study in a district in South Kalimantan, namely Balangan Regency with the aim of explaining the characteristics of the distribution of ovarian cysts and the factors that influence the incidence of ovarian cysts in women of childbearing age in Balangan Regency using binary logistic regression method. Based on descriptive statistical analysis, it was found that the distribution characteristics of ovarian cyst sufferers were from 59 people who had checked for cyst symptoms at Balangan Hospital, 46 people were known to have cysts, while 13 people were not known to have cysts. Based on binary logistic regression analysis, the factors that influence the incidence of ovarian cysts for data on the incidence of ovarian cysts in Balangan Hospital are parity and employment status, while the age factor has no significant effect. Using the Odss Ratio (OR) parity value, patients with nulliparous status had a 0,033 higher risk of developing ovarian cysts than patients with multiparous status. using the OR value of the occupational status patients who had a job had a 0,014 higher risk of developing ovarian cysts than patients who did not have a job. Keywords: Ovarian cysts, Logistic binary, Odds Ratio.
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Hasnah, Muthahharah, Andi Riska Roswati, and Nurul Fadhilah Gani. "THE THERAPEUTIC INTERVENTION OF MUROTTAL AL-QUR’AN IN OVARIAN CYST PATIENTS WITH ACUTE POSTOPERATIVE PAIN PROBLEMS." Jurnal Kesehatan 15, no. 1 (June 10, 2022): 65–70. http://dx.doi.org/10.24252/kesehatan.v15i1.29231.

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Ovarian cyst is a sac filled with fluid in the ovary. Ovarian cysts are caused by impaired hormone production in the hypothalamus, pituitary and ovaries. The main function of the ovaries is to produce eggs or ova, to produce hormones (progesterone and estrogen), and to participate in regulating the menstrual cyst. Ovarium is common cause of gynecology morbidity in women. Therefore, need the best intervention to affected the symptoms. This study purpose to determine the effect of murottal Al-Qur'an therapy on patients with medical diagnosis of ovarian cysts with acute postoperative pain problems at Labuang Baji Hospital Makassar. The design of this study used a case study conducted with an evidence-based practice in nursing approach. After being given the nursing care process for 3 days, the results showed that murottal intervension helped reduce pain of postoperative ovarian cyst patients on the first postoperative day, the patient's pain scale was 4 (moderate) and until the 3rd day the patient's pain scale decreased to scale 1 (mild). The provision of non-pharmacological interventions, namely murottal therapy can reduce pain and the patient's grimacing decreases. In overcoming the problem of acute pain cannot walk alone, it is necessary to have other interventions, namely collaboration in providing analgesics
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12

Thakur, Anjani, Isaac Yang, Albert Lin, Terry Buchmiller-Crair, and Eric W. Fonkalsrud. "Management of Ovarian Cysts in Women Undergoing Restorative Proctocolectomy for Ulcerative Colitis." American Surgeon 69, no. 4 (April 2003): 339–42. http://dx.doi.org/10.1177/000313480306900412.

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More than half of all patients undergoing restorative proctocolectomy (RP) for ulcerative colitis (UC) are women, yet there is a paucity of information regarding the frequency, management, and outcome of ovarian cysts. A single surgeon's (E.W.F.) experience with female patients (N = 165) who underwent RP for UC at an academic medical center was retrospectively evaluated for postoperative complications and overall outcome. Patients with large ovarian cysts (LOCs), defined as being greater than 5 cm in diameter, were further segregated for subanalysis. All results were analyzed using the Student's t test and Fisher's exact test. Patients were 29.3 ± 13 years (mean) at the time of RP; 34 patients were less than 16 years old (21%), 113 patients (68%) were between the ages of 17 and 46 years, and 18 patients were over 46 years old (11%). All patients underwent total colectomy, mucosal proctectomy ileal pouch-anal anastomosis, and temporary end ileostomy. The ileostomy was closed 3 months later. Fifty-five of the 165 patients had ovarian cysts (33%) identified at operation, 46 had unilateral cysts, and nine had bilateral cysts. Mean ovarian cyst size was 4.6 ± 2.7 cm (range <1–13 cm); 14 were LOCs. Patients with cysts <3 cm in diameter at operation were treated by observation with hormonal manipulation. Seventeen patients with cysts 3 to 5 cm in diameter required partial resection of one or both ovaries. Six of 14 patients with LOC underwent unilateral oophorectomy (cyst size range 10–13 cm). Twelve patients presented within 3 years after RP with malfunction of the pouch because of adhesions or minimal and uncontrolled passage of fecal material (soiling), partial obstruction due to LOC compression of the ileoanal pouch (n = 6), or adhesions. When evaluated on the basis of ovarian cyst size those without cysts and those with small cysts were significantly more likely to have children than those with LOC: 54 of 110 patients without cysts (49%), 18 of the 41 with cysts less than 5 cm in diameter (44%), and two of the 14 patients with LOC (14%) have had children ( P = 0.047). Ovarian cysts are common in women undergoing RP for UC. Ovarian cysts often complicate postoperative intestinal function and are best treated by cyst resection or oophorectomy at the time of RP or ileostomy closure. Cysts under 3 cm in diameter may often be managed conservatively with few complications. Women with LOC after RP for UC have decreased fertility compared with those without cysts.
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Henes, Melanie, Tobias Engler, Florin-Andrei Taran, Sara Brucker, Katharina Rall, Birthe Janz, and Barbara Lawrenz. "Ovarian cyst removal influences ovarian reserve dependent on histology, size and type of operation." Women's Health 14 (January 1, 2018): 174550651877899. http://dx.doi.org/10.1177/1745506518778992.

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Previous publications suggest a reduction in the ovarian reserve following ovarian surgery. The influence of the underlying disease, histology, size of the ovarian cyst and type of procedure remains unclear. The aim of this study was to investigate the influence of an ovarian operation on the ovarian reserve, based on the anti-Müllerian hormone levels. The anti-Müllerian hormone values were determined by means of a standardized enzyme-linked immunosorbent assay. In total, 52 patients with one or more ovarian cysts of different histologic entities treated at the Department of Women’s Health at the Women’s University Hospital in Tübingen were included in the study. Anti-Müllerian hormone was determined before and after surgery. The patients were 28 (range = 18–40) years old on average. There was a statistically significant decrease in anti-Müllerian hormone from 3.94 ± 3.18 to 3.14 ± 2.57 ng/mL (p = 0.001). In 80.8%, the cysts were unilateral, and in over 90.4%, a complete cyst extirpation was performed. A statistically significant reduction was seen in follicular cysts (4.72 ± 3.84 to 3.76 ± 2.91 ng/mL; p = 0.039) and endometriosis cysts (2.55 ± 1.87 to 1.72 ± 1.39 ng/mL; p = 0.024). Also, the size of the cysts had an influence on the ovarian reserve, only larger ovarian cysts with a diameter of 5 cm or more showed a statistically significant reduction in anti-Müllerian hormone. Our data showed a significant decrease in anti-Müllerian hormone levels after surgery on the ovaries. If this results in a long-term reduced ovarian reserve or is merely a short-term reaction to the procedure needs to be clarified. However, concerning young women, the indication of surgery should be given cautiously as—at least temporarily—a reduction in the ovarian reserve can occur.
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Sharma, Devesh, and Anjali Vinocha. "Benign Ovarian Cysts with Raised CA-125 Levels: Do We Need to Evaluate the Fallopian Tubes?" Journal of Laboratory Physicians 12, no. 04 (December 2020): 276–80. http://dx.doi.org/10.1055/s-0040-1722547.

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Abstract Objectives It is not clearly known whether some benign (simple) ovarian cysts can convert into cancerous cysts. Size of cyst and wall abnormalities do predict the potentiality of malignancy. Not many studies have been done to explore the malignant potential of large-sized (> 5 cm) unilocular ovarian cysts without wall abnormalities. This study evaluated the correlation between ultrasonographic size of benign ovarian cysts and carbohydrate antigen 125 (CA-125) levels. Methodology Sixty (60) premenopausal women were recruited for the study preoperatively, based on transvaginal ultrasound (TVUS) findings present in the case record sheet received along with the CA-125 sample in the biochemistry laboratories. Those cases with elevated CA-125 levels were selected, where patients had unilocular ovarian cysts without wall abnormalities. CA-125 was done using ECLIA methodology (Cobas e411, Germany). Statistical correlation was calculated between the ovarian cyst size and CA-125 levels using Spearman’s Rho coefficient. Results Mean age group of subjects were 29.7 ± 7.3 years and mean value of CA-125 (normal < 35 IU/mL) was found to be increased: 118.0 ± 147.1 IU/mL so was the mean diameter of cysts (cut off ≤ 5 cm): 48.6 ± 59.8 cm. No correlation was found between CA-125 levels and volume of ovarian cyst (r = 0.005, p = 0.680) for all subjects. Conclusions The lack of correlation between size of ovarian cysts and CA-125 levels provides a hint that the ovarian cyst epithelium does not directly express CA-125 and it may come from sites like the fallopian tube. Thus, raised level of CA-125 in benign ovarian cyst should be followed-up more closely, demanding assessment of fallopian tubes for early diagnosis of ovarian cancer. Also, algorithms can be explored to include size of ovarian cyst and CA 125 levels to predict ovarian cancer.
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Farin, P. W., R. S. Youngquist, J. R. Parfet, and H. A. Garverick. "Diagnosis of luteal and follicular ovarian cysts by palpation per rectum and linear-array ultrasonography in dairy cows." Journal of the American Veterinary Medical Association 200, no. 8 (April 15, 1992): 1085–89. http://dx.doi.org/10.2460/javma.1992.200.08.1085.

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Summary The purpose of this study was to determine and compare the accuracy of palpation per rectum and linear-array ultrasonography for diagnosing follicular vs luteal ovarian cysts in cows. Forty-seven examinations of ovarian cysts from 28 cows were diagnosed by palpation per rectum as either a firm, thick-walled structure (luteal cyst) or a soft, thin-walled structure (follicular cyst) during weekly herd examinations. The ovaries of each cow were then examined by ultrasonography. Ultrasonograms of cysts >25 mm in diameter were diagnosed as luteal or follicular cysts and were recorded on videotape for evaluation by a second clinician. Serum progesterone concentrations at the time of examination were determined by radioimmunoassay and used to classify luteal (>0.5 ng/ml) or follicular (≤0.5 ng/ml) cysts. Selection of this discriminatory level was based on response of a proportion of cows with luteal cysts that were given 25 mg of prostaglandin F2α at the time of diagnosis by ultrasonography. Sensitivity and specificity of palpation per rectum for diagnosis of type of ovarian cyst were low (43.3 and 64.7%, respectively). In contrast, sensitivity and specificity of ultrasonography were considerably higher (86.7 and 82.3%, respectively). Agreement between the 2 methods of diagnosis was 57.4%. Overall agreement between the 2 clinicians’ diagnoses by ultrasonography was 85.1%. On the basis of our findings, we confirm that luteal and follicular cysts cannot be accurately differentiated by palpation per rectum alone. These data suggest that linear-array ultrasonography is more effective than palpation per rectum for diagnosing type of ovarian cyst in cows.
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S, Manjiri, Padmalatha SK, and Shetty J. "Management of Complex Ovarian Cysts in Newborns – Our Experience." Journal of Neonatal Surgery 6, no. 1 (December 31, 2016): 3. http://dx.doi.org/10.21699/jns.v6i1.448.

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Aims: To analyse the clinical presentation, clinicopathological correlation and management of complex ovarian cysts in newborn and infants.Materials and Methods: Over a period of 6 years (2009-2015), 25 newborns who were diagnosed to have ovarian cyst on antenatal ultrasound, were followed up. We collected data in the form of clinical features, radiological findings, pathology and mode of treatment.Results: Of the 25 fetuses who were diagnosed to have ovarian cysts, fourteen (56%) underwent spontaneous regression by 6-8 months. Eight were operated in newborn period while 3 were operated in early infancy. Seven had ovarian cyst on right side, 4 had on left side. Eight babies underwent laparoscopy while 3 underwent laparotomy. Histopathology showed varied features of hemorrhagic cyst with necrosis and calcification, serous cystadenoma with hemorrhage, benign serous cyst with hemorrhage and simple serous cyst. Post-operative recovery was uneventful in all.Conclusion: All the ovarian cysts detected antenatally in female fetuses need close follow-up after birth. Since spontaneous regression is known, only complex or larger cysts need surgical intervention, preferably by laparoscopy. Majority of the complex cysts show atrophic ovarian tissue hence end up in oophorectomy but simple cysts can be removed preserving normal ovarian tissue whenever possible.
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17

Valson, H., Satish Arakeri, Dally Maria Davis, and Divya S. "Retrospective study of tumor and tumor like conditions of ovary from a rural hospital in Kerala." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 8 (July 26, 2017): 3275. http://dx.doi.org/10.18203/2320-1770.ijrcog20173074.

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Background: Ovarian tumor and tumor like conditions are seen in women from early childhood to post-menopausal age. The ovaries are a pair of female sex glands responsible for the germ cell maturation, storage and release; cyclically. It also plays an important role in steroidogenesis. The ovaries are a totipotential structure and hence, neoplasms from all 3 germinal layers can be seen arising from it and manifesting clinically as ovarian tumors and tumor like conditions with its occurrence more during the late reproductive life. Ovarian tumors represent about 30% of all cancers of the female genital system. They manifesting in a wide spectrum of clinical, morphological and histological features.Methods: This is retrospective observational study where analysis of all cases which were encountered surgically during the period Mar 2012 to Mar 2017. The cases diagnosed as ovarian tumors were subjected to thorough investigation by CA125, ultrasound (USG) abdomen and pelvis and Computerised Tomography (CT) scan. Emergency presentations with twisted cysts were operated in emergency setting and histopathological examination (HPE) done to identify the nature of tumor. IHC was done wherever necessary to sub classify and confirm the histological diagnosis. Surgeries were done either by conventional laparotomy or by laparoscopy.Results: We have analyzed 175 cases retrospectively after histopathological diagnosis. The commonest lesions were ovarian cysts, out of which 63 cases (36%) were simple serous cyst adenomas followed by mucinous cyst adenomas 30 cases (17.14%). Germ cell tumors with struma ovarii were 34 cases (19.42%). The interesting part of the study was that we had a very high incidence of large endometriomas diagnosed as ovarian cysts before surgery 16 cases (9.4%). Two cases (1.14%) of ovarian malignancy were detected.Conclusions: The above study has revealed a spectrum of ovarian tumors over a wide age range from adolescent to late reproductive to menopausal and late menopausal age group. The incidence of malignancy was (1.14%).
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Mirza, Bilal. "Auto-amputated Ovarian Cyst with Compression Sequelae: A Case Report." Journal of Neonatal Surgery 1, no. 4 (October 1, 2012): 54. http://dx.doi.org/10.47338/jns.v1.5.

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Ovarian cysts contribute a major share of cystic lesions in fetal life. Quite often, these cysts are benign and resolve spontaneously. Occasionally, these cysts can twist, resulting in ovarian loss. We report a case of auto-amputated ovarian cyst presetting with intestinal obstruction.
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Bhargava, Nikita, K. Bharathi, Poonam Choudhary, and Pooja Jangid. "Ayurvedic Approach for Management of (Hemorrhagic Ovarian Cyst) Andashayagata Raktaja Granthi – A Case Report." International Research Journal of Ayurveda & Yoga 7, no. 2 (February 29, 2024): 19–24. http://dx.doi.org/10.48165/irjay.2024.70204.

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Ovarian cysts can be either simple or complicated. Complex ovarian cysts contain either a solid or blood component. A common worry in standard gynecological care is ovarian cystic masses. The findings show that there are wide variations in the prevalence of ovarian cysts. Reports state that 8–18% of post-menopausal and pre-menopausal women have ovarian cysts. Most cysts are asymptomatic and can only be detected by routine ultrasonography. Certain ones are very symptomatic, posing challenges for women in their day-to-day activities. The symptoms are significantly influenced by the size of the cysts. A closed, sac-like structure on or inside the ovary that is filled with a liquid or semi-solid material is called an ovarian cyst. A type of functional cyst known as a hemorrhagic cyst is often referred to as a corpus luteal cyst. Treatment options for cysts that do not go away after 3 months include surgery and a combination of oral contraceptive tablets. The need for alternative kinds of management is increasing as a result of the many adverse effects of oral contraceptives, especially for individuals who would rather not have surgery. Treatment for a 22-year-old female patient who had a complicated right ovarian hemorrhagic cyst with dyspareunia, burning micturition, and significant lower abdominal pain was based on Ayurvedic principles. For one and half months, the patient was administered Gandharva Hastadi Tail, Kachnara Gugglu, Arbudhara Kwatha katuki Churna, Chandanasava, Amrutoz, Dhatriloha, and Sankha Bhasm. A follow-up USG revealed that the hemorrhagic cyst had completely disappeared and that the symptoms had much decreased. The current study highlights how Ayurveda can help control ovarian cysts in a way that is beneficial.
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Marinkovic, Smiljana, Radoica Jokic, Svetlana Bukarica, Aleksandra Novakov-Mikic, Nada Vuckovic, and Jelena Antic. "Surgical treatment of neonatal ovarian cysts." Medical review 64, no. 7-8 (2011): 408–12. http://dx.doi.org/10.2298/mpns1108408m.

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Medical experts are still at issue over the most suitable management of simple neonatal ovarian cysts exceeding 40mm and complex cysts of any size. The authors present surgical treatment of these cysts by classical laparotomy and laparoscopy. The study included 13 newborn babies surgically treated for 6 simple and 7 complex ovarian cysts. The diameter of the cysts ranged from 29 to 102mm. The age of children was from 2 days to 10 months. The open classical laparotomic approach was performed in 8 babies. In the laparotomy group, cystectomy was done in 3 infants with simple cysts. The other 5, presented with ovarian torsion, required salpingo-oophorectomy. Video - assisted cystectomy was the procedure for 3 simplex and one complex cyst with torsion. Laparoscopic adnexectomy was applied in one case with autoamputated cyst. Our small study demonstrates that laparoscopy is as safe and effective as classical laparotomy in managing neonatal ovarian cysts, but with better cosmetic results.
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Gherissi, Djalel Eddine, Yasmin Ben Ali, Djalel Eddine Rahmoun, Afri Fardia Bouzebda, and Zoubir Bouzebda. "Pathological Findings on Genital Abnormalities in Female Camel in the El Oued Region, Algeria." Veterinarska stanica 53, no. 6 (April 29, 2022): 663–75. http://dx.doi.org/10.46419/vs.53.6.2.

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The present study was performed to give a detailed histopathological description of genital abnormalities found in normal, clinically healthy female camels. A total of 165 apparently healthy female camels were randomly selected at the El Oued slaughterhouse at the south east of Algeria. Histopathological analysis was carried out on 25 pathological formations of ovaries (follicular, haemorrhagic and luteinized cysts and teratoma), uterine infections (clinical, chronic and pyometra), uterine serosal inclusion cyst, uterine agenesis and ovarian infundibular cyst, by establishing elementary lesions related to each macroscopic condition. A significant impairment of normal structure of each studied reproductive organ was recorded. The prevalence of animals showing genital abnormalities was 15%. The frequency incidence of ovarian lesions was ranked first (56%) followed by uterine affections (28%) and finally ovarian bursa abnormalities with four cases (16%). The incidence of genital conditions was as follows: follicular cysts (28%), haemorrhagic cysts (16%), hydrobursitis (16%), chronic endometritis (12%), luteinized follicular cysts (8%), clinical metritis (4%), pyometra (4%), dermoid cysts (4%), uterine agenesis (4%) and uterine serosal inclusion cysts (4%). The main lesions of the uterine infection were congestions, oedema, endometrial epithelium and glandular degeneration and infiltration by inflammatory cells. Uterine agenesis was characterised by a lack of endometrial glands and hyalinization of the myometrium. The mean lesions for the infundibular cyst were congestion, haemorrhage and hemosiderophages, infiltration by inflammatory cells, endometrial degeneration and vacuolation and pseudo-glandular dilations. The ovarian dermoid cyst showed a keratinized and scaly epithelium housed in fibrous connective tissue containing hair follicles, and sebaceous and sweat glands. The ovarian cysts showed thin or enlarged granulosa and internal theca with luteinization or vacuolation of the antral cavity. Finally, serosal inclusion cyst of the uterus appeared as dilation between the myometrium and the perimetrium with homogenous content. Concerning the above, the reported elementary genital abnormalities are indicated as responsible for the delayed reproduction, infertility and unsatisfactory camel livestock outcomes.
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Toth, Andrea-Noemi, Manuela Cucerea, Tamas Toth, Radu Alexandru Prisca, Delia Tatar, Zsuzsanna Gall, and Marta Simon. "Ovarian torsion due to prenatally diagnosed cystic abdominal mass – case report and literature review." Romanian Journal of Pediatrics 73, no. 2 (June 30, 2024): 77–82. http://dx.doi.org/10.37897/rjp.2024.2.3.

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The majority of abdominal cystic formations in newborns are benign and usually originate from the urinary tract, genital system or gastrointestinal system. Fetal ovaries are predisposed to development of cysts due to the maternal hormonal environment of advancing gestational age. Prenatal diagnosis became possible with improvement of ultrasound techniques. Complex pattern of the cysts are at higher risk for complications, the most concerning being ovarian torsion and consequent compromised fertility. Management is controversial, involution of simple cysts few months after birth is possible considering the cease of ovarian stimulation by maternal and fetal hormones but surgical approach is more indicated in symptomatic or complex cysts. We report the case of a prenatally diagnosed cystic abdominal mass at 33 weeks of gestation with antenatal ovarian torsion and need for right oophorectomy in the neonatal period. At two months of age appearance of ovarian cyst was observed on the contralateral ovary by ultrasound, being managed conservatively.
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Parazzini, Fabio, Sandro Gerli, Alessandro Favilli, Michele Vignali, Elena Ricci, Sonia Cipriani, Francesca Chiaffarino, Andrea Dell'acqua, Sergio Harari, and Stefano Bianchi. "mTOR inhibitors and risk of ovarian cysts: a systematic review and meta-analysis." BMJ Open 11, no. 9 (September 2021): e048190. http://dx.doi.org/10.1136/bmjopen-2020-048190.

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ObjectiveTo summarise the available evidence on frequency of ovarian cyst development during mammalian target of rapamycin inhibitors (mTORi) treatment.MethodsPubMed/Medline and EMBASE databases were searched, from 1990 up to March 2020, using the following keywords: ‘tacrolimus’, ‘sirolimus’, ‘temsirolimus’, ‘everolimus’, ‘deforolimus’, ‘mTOR’ and ‘ovarian cysts’ (Limit: Human, English, full article). Studies were selected for the review if they met the following criteria: clinical studies, studies reporting original data, studies reporting the number of patients using mTORi, studies reporting the number of patients with ovarian cysts.We selected 7 of 20 retrieved studies. Study design, population, sample size, criteria for diagnosis of ovarian cysts, drug doses and follow-up length were extracted. Pooled estimate of incidence was calculated for ovarian cysts as a percentage, with 95% CI.ResultsFour hundred-six women were included in the selected studies. The pooled incidence was 37.0% (95% CI 16.0% to 58.1%) for all ovarian cysts, and 17.3% (95% CI 5.6% to 29.1%) for clinically significant ovarian cysts. Based on two articles, comparing mTORi and non-mTORi for immunosuppression, pooled OR for ovarian cyst incidence was 4.62 (95% CI 2.58 to 8.28).ConclusionOvarian cyst development is a common adverse event during immunosuppression treatment with mTORi. These cysts are benign conditions, but they require pelvic ultrasound follow-up and in some cases hospital admission and surgery.
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Aly, Rania Hamdy. "Efficacy Of Progestins in The Treatment of Functional Ovarian Cyst." Women Health Care and Issues 5, no. 5 (August 26, 2022): 01–06. http://dx.doi.org/10.31579/2642-9756/127.

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Background: Ovarian cysts are frequently common in practice at reproductive age. The management of the cystic adnexal mass in women of reproductive age remains a common gynaecological problem. It is widely accepted that many adnexal cysts represent a persistence of an ovarian follicle or cystic corpus luteum. Aim of the work: The aim of the study is to determine the usefulness of use of progestins over expectant management in treatment of functional ovarian cyst. Methods: 90 women with ovarian cysts were recruited and divided into either control group or progesterone group. The patients were monitored after 6 to 8 weeks. Results: The percentage of 50% or more reduction in cyst width in progesterone group was 35.6% while the control group was 17.8%. The percentage of 50% or more reduction in cyst length in progesterone group was 24.4% while the control group was 15.6%. The percentage of 50% or more reduction in cyst depth in progesterone group was 24.4% while the control group was 17.8%. After testing, there no significant difference detected between both treatment modalities regarding cyst length (p = 0.097), cyst width (p = 0.385), cyst depth (p = 0.204). Cysts resolved completely in 26/45 (57.9%) and 17/45 (37.8%) in groups progesterone and control respectively, However, there was no significant difference regarding content (p = 0.059) and cyst disappearance (p = 0.058). Conclusion: Progestin therapy in functional cysts could be effectively used as expectant management at least among women who are having spontaneous ovulation.
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Tjokroprawiro, Brahmana Askandar. "Huge Paratubal Cyst: A Case Report and a Literature Review." Clinical Medicine Insights: Case Reports 14 (January 2021): 117954762110375. http://dx.doi.org/10.1177/11795476211037549.

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Paratubal cysts may mimic ovarian cysts, and most of them are diagnosed postoperatively. They originate from the mesosalpinx between the ovary and the fallopian tube. Only a few are large, and most paratubal cysts are less than 10 cm. We report a huge paratubal cyst in a 30-year-old woman, whose only preoperative complaint was abdominal distention over 4 months. Conservative surgery was performed with cyst removal while preserving the ovaries and tubes. A paratubal cyst should be included in the differential diagnosis of a large pelvic masses, especially in the reproductive age.
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Gurung, Saraswati, Jyoti Bhaju Lama, Sujata Khadka Neupane, and Salina Shrestha. "Ruptured Right Ovarian Dermoid Cyst in a Multiparous Woman: A Case Report." Medical Journal of Eastern Nepal 3, no. 01 (June 30, 2024): 53–56. http://dx.doi.org/10.3126/mjen.v3i01.67455.

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Ovarian dermoid cysts, or mature teratomas, rarely present with complications such as rupture. We report a case of a ruptured right ovarian dermoid cyst in a multiparous woman, emphasizing the importance of timely diagnosis and management. A 31-year-old woman presented with acute lower abdominal pain and vomiting. Ultrasonography indicated bilateral dermoid cysts, with rupture on the right side, leading to emergency right-sided salpingo-oophorectomy and left-sided ovarian cystectomy. The postoperative course was uneventful, and histopathology confirmed benign cystic teratomas in both ovaries. This case underscores the need for a multidisciplinary approach in managing such uncommon conditions.
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Al-Wasiti, Estabraq AR, Maysoon Mahmood Hussein, and Sarab Hilal Abdulhussain. "Evaluation of some biochemical parameters in fluid cysts and serum in different types of ovarian cysts." American Journal of BioMedicine 10, no. 3 (August 11, 2022): 111–27. http://dx.doi.org/10.18081/2333-5106/2022.10/111.

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Despite their high prevalence in women of different age, the aetiopathogenesis of ovarian cysts (O.C.) unknown. This study is aimed to evaluate the total protein bound hexose (TPHex), total protein (TP), total carbohydrate (TCHO), lactate dehydrogenase (LDH) and iron (Fe+2) in fluid of function, benign, and malignant ovarian cyst. Also demonstrate the change in serum PHex and LDH (of patients with ovarian cyst) and their roles in diagnosis of patients with malignant ovarian cyst. A cross sectional study included sixty- seven women with ovarian cyst (ten of them with functional cyst, thirty two with benign neoplastic cyst and twenty five of them with malignant ovarian cyst). Twenty-six healthy women as a control group also participated in the current study. The age of subjects ranged from (twelve to sixty-seven) years. Different biochemical parameters were carried out in ovarian cyst fluid (O.C.F.) and in serum include (TPHex), total protein (TP), total carbohydrate (TCHO), lactate dehydrogenase (LDH) and iron (Fe+2). In the present study, a comparative study of biochemical parameters revealed that a significant increase in fluid (TPHex), total protein (TP), total carbohydrate (TCHO), lactate dehydrogenase (LDH) and iron (Fe+2) levels in malignant and benign ovarian cyst when compared with functional ovarian cyst, also there is a significant increase in malignant (O.C.F.) compared with benign (O.C.F.). In the serum, our study shows a highly significant elevation in PHex and LDL enzyme in patients with malignant and benign ovarian cysts compared with serum PHex and LDL of normal healthy control, while there is insignificant difference in serum PHex level in patients with malignant ovarian cyst compared with that of patients with benign ovarian cyst. There is no correlation between level of PHex in serum and fluid, while There is a direct correlation between LDH level in serum and fluid cyst. In conclusion, both fluid and serum LDH level can considered as a tumour marker for malignant ovarian cyst also there is a direct correlation between serum and fluid. Fluid TCHO level have a useful role in diagnosis of benign and malignant ovarian cyst. Iron is useful in differentiating endometrioid cyst from other types of cysts, but it is not useful in differentiating benign from malignant ovarian cyst.
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Borges, Á. M., C. H. Santana, and R. L. Santos. "Squamous metaplasia of the rete ovarii do not suppress ovarian cyclicity and pregnancy in cattle: case report." Arquivo Brasileiro de Medicina Veterinária e Zootecnia 73, no. 3 (May 2021): 653–57. http://dx.doi.org/10.1590/1678-4162-12221.

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ABSTRACT Squamous metaplasia of the rete ovarii is an ovarian pathologic change characterized by replacement of the normal single layered cuboidal epithelium of the rete ovarii by a stratified squamous keratinized epithelium. Uterus and ovaries from a local slaughterhouse pregnant crossbreed cow were evaluated through ultrasound, macroscopically and histologically. Grossly, there were multiple cysts in both ovaries, which were histologically characterized as rete ovarii cysts with squamous metaplasia and intraluminal accumulation of keratinized material. Squamous metaplasia of the rete ovarii has been previously reported in cows, however this is the first report of this condition in a pregnant animal, demonstrating that this ovarian change is compatible with pregnancy.
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Deepika, J.K. Panda, and Suniti Tanwar. "Ayurvedic treatment regime of Ovarian Cyst: A Case Report." Journal of Ayurveda and Integrated Medical Sciences 8, no. 7 (September 1, 2023): 208–12. http://dx.doi.org/10.21760/jaims.8.7.40.

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Introduction: Ovarian cysts are fluid-filled sacs that develop on or within the ovaries, which are part of a woman's reproductive system. Most ovarian cysts are benign (non-cancerous) and do not cause any symptoms. However, in some cases, ovarian cysts can grow larger, rupture, become painful, or cause other complications. Hormonal contraceptives and Surgery only the treatment follow by modern system of medicine. A hormonal contraceptive contributes untoward effect. In Ayurveda it can be correlated with Granthi (Kaphaja Granthi). Methods: In this present case study, a 36 years old woman patient consulted to the OPD with the complaint of Pelvic pain come and go, Bloating in the abdomen, Changes in menstrual patterns, and Pain during sexual intercourse. She had also brought her ultrasonography (USG) and finding suggested a right ovarian complex cyst measuring 36mm×36mmx34mm. She was supposed to be treated with traditional ayurvedic formulations; the case was treated for three months with a combination of different traditional Ayurvedic drugs, with the goal of relieving symptoms and dissolving the ovarian cyst. This patient was treated with traditional Ayurvedic formulations like Varunadi Kashyam, Guggulu Panchapala Churnam, Dashmoola Kwatha, Ajmoodadi Choorna. Result: Only Ayurvedic medicines were used during the course of the treatment. Follow-up USG showed complete disappearance of cyst and symptoms also subsided to a great extent. Discussion: The present study emphasizes the role of Ayurveda in bringing a positive result in the management of ovarian cyst.
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Y, Suganya, Sumathi Ganesan, and Valarmathi P. "Comparative Analysis of Ovarian Images Classification for Identification of Cyst Using Ensemble Method Machine Learning Approach." ECS Transactions 107, no. 1 (April 24, 2022): 7407–15. http://dx.doi.org/10.1149/10701.7407ecst.

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Generally, cysts are painless. When ovaries get enlarged there is a possibility for torsion and infertility. To detect the ovarian cyst, ultrasounds are used. In this work, ultrasound image dataset of ovaries of different women is been collected and compared with their accuracy with random forest, KNN, and ensemble method. Ultrasound images from the hospital as input from the system, then a pre-processing process is carried out to remove noise in the image. The next step is the segmentation results used for feature extraction by detecting cysts and their sizes. The proposed work is done by comparing the simple cyst and PCOS images for the classification of ovarian cyst along with the ensemble method. Random Forest, KNN, and ensemble methods are combined to compare the accuracy result of cyst types. By using this algorithm, a comparison graph is plotted.
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Makarchuk, O. M., and N. I. Matviykiv. "Clinical experience with a variety of approaches to comprehensive and preventive treatment of functional ovarian cysts." HEALTH OF WOMAN, no. 5(111) (June 20, 2016): 91–94. http://dx.doi.org/10.15574/hw.2016.111.91.

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Prevalence of overy tumors at the moment is from 11 to 20% and has tendency for growth. In Study shows the analysis of results of the observation of treatment of four groups of patients from the age of 18 to 39 years with functional ovarial cysts with program of treatment. Group I (n=30) Women with functional ovarial cysts who received basic treatment. Group II (n=30) hormonal monotherapy. Group III (n=30) – patients, received special extract of Vitex Agnus Castus – BNO 1095. Group IV (n=30) received hormonal therapy + special extract of Vitex Agnus Castus – BNO 1095 for 6 months. The most high efficiency, proving the feasibility of a plant gynecologist practice the means necessary to mention in the IV group, which approved a comprehensive program of treatment and preventive therapy (hormone + extract BNO 1095). In this group almost complete disappearance of pain sensation was noted in 93.3% of women, normalization of ovarian-menstrual cycle – at 83.3%, cystic lesion regression to the size of the follicle – at 76.6%. Functional ovarian cysts relapse during the year – not oserved only in this group. Special extract of Agnus castus – BNO 1095 is effective in both monotherapy and especially when you turn it into a comprehensive scheme for the treatment and prevention of functional ovarian cysts. Key words: ovarian tumors, functional cyst, extract of Vitex Agnus Castus, combined oral contraceptives.
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Fleming, Jean S., H. James McQuillan, Melanie J. Millier, and Grant C. Sellar. "Expression of ovarian tumour suppressor OPCML in the female CD-1 mouse reproductive tract." REPRODUCTION 137, no. 4 (April 2009): 721–26. http://dx.doi.org/10.1530/rep-08-0511.

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Opioid binding protein/cell adhesion molecule-like gene (OPCML) is frequently inactivated in epithelial ovarian cancer, but the role of this membrane protein in normal reproductive function is unclear. The ovarian surface epithelium (OSE) is thought to be the cell of origin of most epithelial ovarian cancers, some of which arise after transformation of OSE cells lining ovarian inclusion cysts, formed during ovulation. We used immunohistochemistry, immunoblotting and quantitative RT-PCR (qRT-PCR) to investigate OPCML expression in the uteri and ovaries of cycling 3-month CD-1 mice, as well as in ovaries from older mice containing inclusion cysts derived from rete ovarii tubules. Immunoblotting showed OPCML bands in uterine, but not whole ovarian or muscle extracts. Strong OPCML immunoreactivity was observed in oviduct, rete ovarii and uterus, whereas in ovary more immunoreactivity was seen in granulosa cells than OSE. No staining was observed in OSE around ovulation sites, where OSE cells divide to cover the site. OPCML immunoreactivity was also weaker in more dysplastic cells lining large ovarian inclusion cysts, compared with normal rete ovarii. No significant changes inOpcmlmRNA expression were observed in whole ovarian and uterine extracts at different stages of the cycle. We conclude that murine OPCML is more consistently expressed in cells lining the uterus, oviduct and rete ovarii than in ovary and is not expressed in OSE associated with ovulation sites. This observation supports the hypothesis that a proportion of epithelial ovarian cancers arise from ductal cells and other epithelia of the secondary Mullerian system, rather than the OSE.
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Krämer, S., M. Leeker, and W. Jäger. "Gonadotropin Levels in Ovarian Cyst Fluids: A Predictor of Malignancy?" International Journal of Biological Markers 13, no. 3 (July 1998): 165–68. http://dx.doi.org/10.1177/172460089801300308.

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Gonadotropins can stimulate ovarian cancer growth in cell cultures. Corresponding LH/hCG receptors have been demonstrated in ovarian cancer. However, reduction of elevated serum gonadotropins by GnRH analogs in ovarian cancer patients did not lead to growth restriction, which means that serum levels of gonadotropins may not play the most important role in ovarian cancer. We therefore analyzed the LH and FSH concentrations in cyst fluids of ovarian cancer. Patients with preoperatively diagnosed cystic ovarian tumors were eligible for the study. Serum samples of the patients were obtained during surgery, while the fluids within the cysts were aspirated after surgical removal of the tumor. FSH and LH levels in serum and cyst fluids were measured using single antibody EIA (Boehringer Mannheim GmbH, Germany). Cyst fluids and sera of 108 patients were evaluated. While there were no significant differences in the FSH and LH serum concentrations, highly significant differences in the FSH and LH levels in cyst fluids were found. Only cancer cysts contained FSH and LH, while the corresponding concentrations in benign cysts were always below the measuring range of the assays. This clear division between high gonadotropin levels in cysts of serous ovarian cancer and low or absent concentrations in benign ovarian tumors further supports the hypothesis that FSH and LH may play a role in ovarian cancer; however, explanations for this surprising finding are still lacking.
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Baykal, C., E. Demirtas, A. Al, A. Ayhan, K. Yuce, G. Tulunay, M. F. Kose, and A. Ayhan. "Comparison of HGF (hepatocyte growth factor) levels of epithelial ovarian cancer cyst fluids with benign ovarian cysts." International Journal of Gynecologic Cancer 13, no. 6 (2003): 771–75. http://dx.doi.org/10.1136/ijgc-00009577-200311000-00007.

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Hepatocyte growth factor (HGF) is known to take a role in oncogenesis and tumoral behavior of the tumors of the organs that contain both mesenchymal and epithelial cells. This study compares HGF levels in cyst fluids of epithelial ovarian cancer and benign ovarian cysts to look for the role of HGF in ovarian carcinogenesis. Twenty-four consecutive patients with ovarian cancer and 34 with benign ovarian cysts were recruited prospectively at the Gynecologic Oncology Departments of SSK Ankara Maternity Hospital and Hacettepe University School of Medicine between 2001 and 2002. Cyst fluids were collected during primary staging in cancer patients and during laparatomy for benign patients. HGF levels were measured by ELISA method. Median HGF levels of the benign ovarian cysts and epithelial ovarian tumoral fluids were found to be 3822 pg/ml (85–15,253 pg/ml) and 12,962 pg/ml (4136–16,025 pg/ml), respectively. Malignant cyst fluids have higher HGF levels when compared with benign ovarian cysts (P < 0.01). This finding suggests that HGF may take a paracrine role in oncogenic differentiation and tumoral development of epithelial ovarian cancers. Mechanisms that take a role in HGF secretion and the responses of neighboring epithelial cells to HGF during tumoral development need to be investigated.
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Blanco, Diego Federico, Matias Eugenio Sclocco, and Juan Carlos Troiano. "Ovary cysts in a guinea pig (Cavia porcellus) – case report." Clínica Veterinária XXIV, no. 138 (January 1, 2019): 42–46. http://dx.doi.org/10.46958/rcv.2019.xxiv.n.138.p.42-46.

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Ovarian cysts are not funcional fluid-filled structures, which can spontaneously develop in the ovaries during the reproductive cycle, and secrete female hormones in increased amounts, causing irregular reproductive cycles and infertility. We describe the case of a 4 year old, intact female guinea pig presented with anorexia, progressive weight loss and enlarged abdomen. She was fed commercial rodent dry food, fruits and vegetables. An abdominal ultrasonography revealed the presence of ovarian cysts, and an exploratory laparotomy was recommended. The pig was anesthetized with a combination of intramuscular xylazine (1 mg/kg); ketamine (25 mk/kg) and nalbuphine (1 mg/kg) followed by inhalatory anesthesia with 3% isoflurane during induction and 1% for maintenance. Surgical approach was median laparotomy. Bilateral ovariectomy with removal of the ovariany cyst was performed. Postoperative treatment consisted in administration of enrofloxacin 5 mg/kg every 24 hours via SC, feeding of commercial food until sutures were removed, 10 days after surgery.
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Xu, Jiehan, Hongfang Shao, Yan Yang, Xiaohong Shi, and Minfang Tao. "Improvement and effect of stress responses and ovarian reserve function in patients with ovarian cysts after laparoscopic surgery." Journal of International Medical Research 47, no. 7 (June 12, 2019): 3212–22. http://dx.doi.org/10.1177/0300060519851333.

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Objectives This study aimed to examine improvement and the effect of stress responses and ovarian reserve function in patients with ovarian cysts after laparoscopic surgery. Methods A retrospective analysis was performed on 117 patients with ovarian cysts. Fifty-one patients who were treated with abdominal ovarian cyst dissection were in the control group. Sixty-six patients who were treated with laparoscopic ovarian cyst dissection were in the experimental group. Results Operative conditions and recovery in the experimental group were better than those in the control group. After surgery, changes in most ovarian reserve function indices in the experimental group were significantly less than that in the control group. The maximum diameter of the ovary and the number of antral follicles after surgery were less in the experimental group than in the control group. Changes in stress response indices after surgery were significantly less in the experimental group than in the control group. Conclusions Laparoscopic ovarian cyst surgery may have a relatively small adverse effect on multiple related indices of ovarian reserve function. The patient’s stress response level is also lower after this surgery. Therefore, laparoscopic ovarian cyst surgery is suitable for treating patients with ovarian cysts.
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Topor, Andreea Teodora. "A CASE OF BOCHDALECK’S HERNIA AND A GIANT OVARIAN CYST IN A GERIATRIC PATIENT." Journal of Surgical Sciences 1, no. 2 (November 2, 2018): 62–66. http://dx.doi.org/10.33695/jss.v1i2.175.

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Some authors define a giant ovarian cyst as having more than a 10 cm diameter . Huge cysts are usually benign or have a low-degree of malignancy . Laparoscopy is considered the gold standard approach to manage benign ovarian cysts but a major factor that will make the surgeon decide to perform or not perform a laparotomy is the size of the ovarian mass. We describe the case of an 86-year-old female patient diagnosed and treated for a giant ovarian cyst. The patient presented with complaints of recently aggravated pain in the left hypochondrium. The main symptom was a giant pelvic and abdominal mass that occupied all the quadrants. The CT scan identified the giant tumor as an ovarian cyst and also revealed a Bochdaleck hernia. Other investigations revealed: arterial hypertension, right bundle branch block, and chronic cardiac failure. The surgical treatment of choice was minimal laparotomy followed by suction of the content of the cyst, excision of the cyst’s wall and left adnexectomy. Despite the advanced anesthesiological risks, the patient developed no postoperative complications. Patients can be operated on successfully even in old age and in complicated cases with good perioperative anaesthetic evaluation and careful election of the surgical technique.
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Timofeeva, O. S., I. A. Petrov, Zh F. Gaifulina, Iu G. Samoilova, O. A. Tikhonovskaya, D. A. Kudlay, M. S. Petrova, S. V. Logvinov, G. A. Mikheenko, and U. V. Okkel. "Management strategies for patients with functional ovarian cysts in assisted reproductive technology programs." Voprosy ginekologii, akušerstva i perinatologii 22, no. 2 (2023): 92–97. http://dx.doi.org/10.20953/1726-1678-2023-2-92-97.

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Infertility is one of the most concerning issues in contemporary medicine. Infertility occurs in more than 40% of patients with benign ovarian tumors, and most of tumor-like lesions are represented by functional ovarian cysts. To date, there are different opinions about the impact of functional ovarian cysts on the effectiveness of assisted reproductive technology programs. This review is devoted to the peculiarities of managing in vitro fertilization programs in the presence of functional ovarian cysts. Epidemiological data on the prevalence of functional ovarian cysts in patients with infertility are presented. The pathogenetic mechanisms of functional ovarian cyst formation and their influence on the outcome of assisted reproductive technology programs are considered. Particular attention is paid to various approaches to their treatment prior to an in vitro fertilization, as well as to their impact on program outcomes. Key words: functional ovarian cysts, treatment, assisted reproductive technologies, in vitro fertilization, ovulation stimulation
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39

Alobaid, A., A. Memon, S. Alobaid, and L. Aldakhil. "Laparoscopic Management of Huge Ovarian Cysts." Obstetrics and Gynecology International 2013 (2013): 1–4. http://dx.doi.org/10.1155/2013/380854.

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Objectives.Huge ovarian cysts are conventionally managed by laparotomy. We present 5 cases with huge ovarian cysts managed by laparoscopic endoscopic surgery without any complications.Materials and Methods.We describe five patients who had their surgeries conducted in a tertiary care center in Riyadh, Saudi Arabia (King Fahad Medical City).Results.Patients age ranged between 19 and 69 years. Tumor markers were normal for all patients. The maximum diameter of all cysts ranged between 18 and 42 cm as measured by ultrasound. The cysts were unilocular; in some patients, there were fine septations. All patients had open-entry laparoscopy. After evaluation of the cyst capsule, the cysts were drained under laparoscopic guidance, 1–12 liters were drained from the cysts (mean 5.2 L), and then laparoscopic oophorectomy was done. The final histopathology reports confirmed benign serous cystadenoma in four patients and one patient had a benign mucinous cystadenoma. There was minimal blood loss during surgeries and with no complications for all patients.Conclusion.There is still no consensus for the size limitation of ovarian cysts decided to be a contraindication for laparoscopic management. With advancing techniques, proper patients selection, and availability of experts in gynecologic endoscopy, it is possible to remove giant cyst by laparoscopy.
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40

Baykal, C., E. Demirtaş, A. Al, A. Ayhan, K. YÜCE, G. Tulunay, M. F. KÖSE, and A. Ayhan. "Comparison of hepatocyte growth factor levels of epithelial ovarian cancer cyst fluids with benign ovarian cysts." International Journal of Gynecologic Cancer 14, no. 1 (January 2004): 152–56. http://dx.doi.org/10.1136/ijgc-00009577-200401000-00021.

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Hepatocyte growth factor (HGF) is known to take role in oncogenesis and tumoral behavior of the tumors of the organs that contain mesenchymal and epithelial cells together. This study aims to compare HGF levels in cyst fluids of epithelial ovarian cancer and benign ovarian cysts and look for the role of HGF in ovarian carcinogenesis. Twenty-four consecutive patients with ovarian cancer and 34 with benign cysts of ovary were recruited prospectively at Gynecologic Oncology Departments of SSK Ankara Maternity Hospital and Hacettepe University School of Medicine between 2001 and 2002. Cyst fluids were collected during primary staging in cancer patients and during laparatomy for benign patients. HGF levels were measured by enzyme-linked immunosorbent assay method. Median HGF levels of the benign ovarian cysts and epithelial ovarian tumoral fluids were found as 3822 pg/ml (85–15,253 pgr/ml) and 12,962 pgr/ml (4136–16,025 pgr/ml), respectively. Malign cyst fluids have higher HGF levels when compared with benign ovarian cysts (P < 0.01). This finding suggests that HGF may take a paracrine role in oncogenic differentiation and tumoral development of epithelial ovarian cancers. Mechanisms that take role in HGF secretion and the answers of the neighboring epithelial cells to HGF during tumoral development need to be investigated.
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Doopadapalli, Divyasree, CS Beeresh, KR Vimala, and Krishna lingegowda. "Laparoscopic Management of Large Ovarian Cysts." International Journal of Gynecological Endoscopy 1, no. 1 (2017): 18–21. http://dx.doi.org/10.5005/jp-journals-10058-0004.

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ABSTRACT Introduction Large ovarian cysts are conventionally managed by laparotomy. This study was undertaken to assess the feasibility and outcome of laparoscopic surgery for the management of large ovarian cysts. Settings and design Rural teaching hospital – prospective study. Materials and methods Thirty-eight patients from January 2014 to December 2016 presumed to be with large ovarian cyst were managed laparoscopically. Preliminary evaluation suggestive to be of benign ovarian cyst by history, clinical examination, sonographic imaging, and basic serum marker were only included in this study. The cysts were aspirated initially, followed by cystectomy, oophorectomy, or total hysterectomy depending on age, parity, coexisting pathology, and desire for future fertility. Results Out of 38 cases, 6 were nonovarian adnexal masses. Eight of the 32 cases who presented with pain due to torsion were managed on emergency basis; rest of the cases were operated electively. Mean operating time was 90 minutes. Mean size of the cyst was 16 cm. One case of borderline malignancy was detected and the rest showed benign pathology. Six of the cases required minilaparotomy for specimen removal. Most women were successfully treated laparoscopically without any complications, and conversion to laparotomy was required in three cases. Conclusion With proper patient selection and exclusion of malignancy, laparoscopic management of large ovarian cyst by gynecologist is feasible. How to cite this article Beeresh CS, Doopadapalli D, Vimala KR, Lingegowda K. Laparoscopic Management of Large Ovarian Cysts. Int J Gynecol Endsc 2017;1(1):18-21.
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Singham, Greeshma, Vivekanand Achanta, Satyaprabha Siripurapu Siripurapu, and Ipsita Mohapatra Mohapatra. "Ovarian cysts in Pregnancy: Obstetric Outcome and Management." PERSPECTIVES IN MEDICAL RESEARCH 9, no. 1 (May 15, 2021): 69–73. http://dx.doi.org/10.47799/pimr.0901.14.

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Objective: To study the pregnancy outcome and management of ovarian cysts during pregnancy. Methods : A prospective observational study was conducted in Prathima Institute of Medical Sciences, Karimnagar from June 2018 to June 2020. A total of 32 cases with ovarian cysts 5cm with benign features as suggested by ultrasound were included in the study. The pregnancy outcome and management were studied. Results : Out of 32 pregnant women with ovarian cysts, 25(78.12%) were asymptomatic and were managed conservatively. Of the 25, spontaneous resolution was seen in 18(56.25%) patients while 7(21.87%) patients in whom ovarian cyst persisted or was incidentally detected during cesarean section were managed by cystectomy at the same time. Surgery was needed in the antenatal period in 7(21.87%) patients due to complications such as increase in size of the cyst seen in 4(12.5%) and torsion seen in 3(9.37%). All the 32 patients had good perinatal outcome. There were no miscarriages. All patients continued to term except one, who presented at 36 weeks with torsion, andunderwent emergency cesarean section with oophorectomy. Histopathological examination of the excised cysts showed 5 as simple cyst, 5 as serous cystadenomas, 3 as mucinous cystadenomas and 1 as dermoid. Conclusion: Management of the ovarian cysts during pregnancy is conservative. Most of them undergo spontaneous resolution. Surgical management is reserved for only symptomatic patients. Pregnancy outcome as such is not affected by ovarian cysts during pregnancy.
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Bajracharya, Nishma, Aruna Karki, Ganesh Dangal, Hema Pradhan, Ranjana Shrestha, Kabin Bhattachan, and Rekha Paudel. "Huge Ovarian Cyst Imitating Pregnancy." Nepal Journal of Obstetrics and Gynaecology 13, no. 1 (November 12, 2018): 61–63. http://dx.doi.org/10.3126/njog.v13i1.21622.

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Ovarian cysts are common findings in females of reproductive age. Mostly, they are non-neoplastic and hormonally dependent as follicular, simple, and corpus luteum cysts. Ovarian cysts are rarely grown to reach huge size without raising any symptoms. Most of the cases that have huge cysts present with pressure symptoms over the genitourinary system leading to urinary complaints or the respiratory system lead to respiratory embarrassment.Dermoid cysts account for 10–20% of all ovarian neoplasms. They are common in young women, especially at the age of 30 years.In most of cases, they are asymptomatic and can be discovered accidentally on clinical examination or ultrasonographic scan. They are usually indolent tumors with very slow rate of growth about 1.8 mm per year. Giant dermoid cysts have been infrequently reported in the literature.This is a case report of huge dermoid cyst weighing 25 kgs in a 42-year old perimenopausal lady that remained relatively asymptomatic. She underwent Laparotomy with ovarian cystectomy.
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Shivamurthy, Archana, and Deepika Gurumurthy. "A clinicopathological study of ovarian endometriotic cysts." Indian Journal of Pathology and Oncology 8, no. 3 (August 15, 2021): 386–90. http://dx.doi.org/10.18231/j.ijpo.2021.074.

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Endometriosis is an important gynecologic disorder with multifactorial causes, primarily affecting women during their reproductive years. Pathologically, it is the result of functional endometrium located outside the uterus which may vary from microscopic endometriotic implants to large cysts. Endometriotic cysts and infertility is a well-known association. Some patients are asymptomatic while others present with disabling pelvic pain, infertility, or adnexal masses. Cyst aspiration, fenestration and ablation of cyst wall are commonly performed surgical procedures. Excision of the cyst wall is an accepted surgical treatment owing to the low recurrence rates. A total of 35 patients who underwent ovarian cystectomy for endometriotic cysts between January 2019 and December 2020 were retrospectively identified. The clinical findings, gross and histopathological features were noted in each case. Microscopically, the presence or absence of ovarian tissue adjacent to the cyst wall was evaluated. If ovarian tissue was present, the morphologic characteristics were graded on a semi-quantitative scale of 0-4 as described by Muzii et al. The age group of patients ranged between 22-28yrs. Right side cysts accounted for the majority, however 6 cases had bilateral endometriotic cysts. Majority of patients presented with primary infertility (46.2%). The maximum weight recorded for these cysts was 35gm, size ranging between 4.5 to 18cm and median thickness of the cyst wall being 0.7cm. 68% of the cysts showed a lining epithelium, few showing atypia and oncocytic change. Fibrosis and hemosiderin laden macrophages were present in more than 70% of cases and endometrial glands and stroma in more than 50%. Inflammation when present was predominantly lymphocytic. On evaluation of the ovarian tissue, 42.8% of cases showed no follicles and the rest showing grades ranging from 1 to 4, with grade 1 accounting for majority. The present study further emphasizes endometriosis to be an important cause of primary infertility which needs to be recognized and treated appropriately. Recognition of these cysts on histopathological examination can be challenging at times when endometrial stroma is scant and in cases of tubo-ovarian masses where these lesions could mimic malignancy. The excision of endometriotic cyst wall may cause loss of functional ovarian tissue in patients with primary infertility and thus could effect the response to ovarian stimulation, ocyte recovery, implantation and fertilization rates in these patients.
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Achour, Radhouane, Najla Rachid, Tarek Hamila, and Rim Ben Hmid. "Ultrasound Characteristics in Complicated Ovarian Cysts." Current Women s Health Reviews 16, no. 2 (April 29, 2020): 123–26. http://dx.doi.org/10.2174/1573404816666191226113853.

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Background: Ultrasonography is the first complementary examination and it is an efficient method to identify different types of cystic lesions of the ovary as well as their complications. Objective: This work aims to study ultrasound characteristics of complicated ovarian cysts and their contribution to emergency department management. Methods: It is a retrospective study of 61 patients who have consulted the emergency department, during 6 months, from November 2016 to April 2017. We included all patients consulting the emergency department for symptoms related to an ovarian cyst. Results: The average size of the cysts was 5.38± 2.27 cm long axis, ranging from 3 to 12 cm. Their wall was thin in 59 cases and thick in 4 cases. They were unilocular in 82% and multilocular in 17.5% of cases. The echogenicity of the cysts varied. The contour of the cysts was regular in 54 cases, while irregularity was shown in 9 cases. Intracystic vegetations were illustrated in 4 cases. The solid component was demonstrated in only 1 cyst. The Douglas effusion was shown in 12.7% of cases. : The comparison of ultrasound findings between outpatient and hospitalized ones shows that there is no significant relationship between the following ultrasound features of ovarian cysts and hospitalization‘ s indication (p>5%). Conclusion: Pelvic ultrasound is of great benefit in the diagnosis of ovarian cysts, however, there is no significant relationship between the features of ovarian cysts and indication of hospitalization (p>5%).
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Chisty, Shahnur, and Liza Chowdhury. "Laparoscopic Management of Benign Ovarian Cysts: Three Years Experience in Combined Military Hospital, Dhaka." Journal of Armed Forces Medical College, Bangladesh 15, no. 2 (December 20, 2020): 209–12. http://dx.doi.org/10.3329/jafmc.v15i2.50840.

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Introduction: Ovarian cyst is a common clinical problem affecting women of all age groups. Laparoscopy should be considered as an alternative to laparotomy in the management of benign ovarian cysts. The aim of this study is to determine the safety, efficacy and outcome of laparoscopic surgery for benign ovarian cysts. Materials and Method: A Prospective observational study has been carried out during the period of Jun 2016 to May 2019 in combined military hospital Dhaka. Total 107 patients who underwent laparoscopic surgery for benign ovarian cysts during this period were included in this study. Results: The maximum number of women was in the 21-30 year- old age groups. Majority were endometriotic cyst (45.79%) followed by perovarian cysts (14.01%) and dermoid cysts (12.14%). The diameter ranges from 4-15 cm.and most of them were unilateral (91.5%). Ovarian cystectomy is the most commonly performed procedure (88.78%). Mean duration of surgery was 62.75 minutes. Complications were also fewer like postoperative fever (22.2%), and trocar site infection.(11.2 %). None of the pts required conversion to laparotomy. Conclusion: With a careful preoperative screening the laparoscopic surgery is a safe and effective treatment for benign ovarian cyst Laparoscopic surgery seems to offer significant advantages such as less adverse effects, reduced hospital stay and better quality of life. JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 209-2012
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Melinte-Popescu, Alina-Sinziana, Radu-Florin Popa, Valeriu Harabor, Aurel Nechita, AnaMaria Harabor, Ana-Maria Adam, Ingrid-Andrada Vasilache, Marian Melinte-Popescu, Cristian Vaduva, and Demetra Socolov. "Managing Fetal Ovarian Cysts: Clinical Experience with a Rare Disorder." Medicina 59, no. 4 (April 6, 2023): 715. http://dx.doi.org/10.3390/medicina59040715.

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Background and Objectives: Fetal ovarian cysts (FOCs) are a very rare pathology that can be associated with maternal–fetal and neonatal complications. The aim of this study was to assess the influence of ultrasound characteristics on FOC evolution and therapeutic management. Materials and Methods: We included cases admitted to our perinatal tertiary center between August 2016 and December 2022 with a prenatal or postnatal ultrasound evaluation indicative of FOC. We retrospectively analyzed the pre- and postnatal medical records, sonographic findings, operation protocols, and pathology reports. Results: This study investigated 20 cases of FOCs, of which 17 (85%) were diagnosed prenatally and 3 (15%) postnatally. The mean size of prenatally diagnosed ovarian cysts was 34.64 ± 12.53 mm for simple ovarian cysts and 55.16 ± 21.01 mm for complex ovarian cysts (p = 0.01). The simple FOCs ≤ 4 cm underwent resorption (n = 7, 70%) or size reduction (n = 3, 30%) without complications. Only 1 simple FOC greater than 4 cm reduced its size during follow-up, while 2 cases (66.6%) were complicated with ovarian torsion. Complex ovarian cysts diagnosed prenatally underwent resorption in only 1 case (25%), reduced in size in 1 case (25%), and were complicated with ovarian torsion in 2 cases (50%). Moreover, 2 simple (66.6%) and 1 complex (33.3%) fetal ovarian cysts were postnatally diagnosed. All of these simple ovarian cysts had a maximum diameter of ≤4 cm, and all of them underwent size reduction. The complex ovarian cyst of 4 cm underwent resorption during follow-up. Conclusions: Symptomatic neonatal ovarian cysts, as well as those that grow in size during sonographic follow-up, are in danger of ovarian torsion and should be operated on. Complex cysts and large cysts (with >4 cm diameter) could be followed up unless they become symptomatic or increase in dimensions during serial ultrasounds.
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Herawati, Anita, Linda Kusumawati, and Ahmad Hidayat. "Hubungan Siklus Menstruasi Dengan Angka Kista Ovarium Pada Pasien RSUD “X” Banjarmasin." DINAMIKA KESEHATAN JURNAL KEBIDANAN DAN KEPERAWATAN 10, no. 1 (January 2, 2020): 48–53. http://dx.doi.org/10.33859/dksm.v10i1.405.

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Latar Belakang : Berdasarkan Survei Demografi Kesehatan Indonesia tahun 2013 angka kejadian kista ovarium sebanyak 37,2% yang sering terjadi pada perempuan umur antara 20 – 40 tahun. Kista ovarium ini sering disebut dengan silent killer dimana sekitar 60% - 70% pasien datang dalam keadaan sudah terdiagnosis stadium lanjut. Kejadian kista ovarium di Indonesia mengalami kenaikan yang signifikan dari tahun ketahun. Di RSUD X Banjarmasin, kejadian kista ovarium berfluktuasi pada tahun 2012 sebanyak 243 kasus, tahun 2013 sebanyak 103 kasus dan tahun 2014 sebanyak 186 kasus.Tujuan : untuk mengkaji hubungan kejadian kista ovarium dengan siklus menstruasi di RSUD X Banjarmasin.Metodologi : Desain penelitian yang di gunakan desain Case control dengan jumlah kasus 186 pasien dengan kista ovarium dan kontrol 186 pasien yang tidak kista ovarium. Analisis data dengan analisis diskriptif analitik dengan chi square, regresi logistik berganda, data penelitian yang digunakan data sekunder dari tahun 2012 -2014.Hasil penelitian : umur perempuan berisiko memiliki 5 kali kemungkinan terkena kista ovarium yaitu sebesar 29,1%, siklus menstruasi yang tidak teratur memiliki risiko 2 kali dengan probabilitas 5,8%, status pernikahan memiliki kontribusi sebanyak 9 kali lebih berisiko yaitu 6,8%, paritas pada ibu yang pernah melahirkan akan mengurangi risiko kista ovarium sebesar 69,5%, dengan kontribusi 2%. Obesitas memiliki resiko 3 kali dengan probability 19,5%, keluarga yang memiliki riwayat kista ovarium memiliki risiko 1 kali dengan kontribusi 1,4%. Menarche tidak berhubungan dengan kista ovarium.Kata kunci : Kejadian kista ovarium, siklus menstruasi, pernikahan. ABSTRACTBackground: Based on the 2013 Indonesian Health Demographic Survey, the incidence of ovarian cysts, which amounted to 37.2%, often occured in women aged between 20-40 years. Ovarian cysts are often called the silent killer where around 60% - 70% of patients come under the diagnosis of an advanced stage. The incidence of ovarian cysts in Indonesia has increased significantly from year to year. In RSUD X Banjarmasin, the incidence of ovarian cysts fluctuates; in 2012 there were 243 cases, in 2013 there were 103 cases and in 2014 there were 186 cases.Objective: The purpose of this study was to examine the relationship between the incidence of ovarian cysts and the menstrual cycle in Banjarmasin X Hospital.Methodology: The study design used was Case-control design with 186 cases of patients with ovarian cysts and control of 186 patients who did not have ovarian cysts. The analysis of the data applied is analytical descriptive analysis with chi-square, multiple logistic regression, the research data used is secondary data from 2012 -2014.Results: Age of women at risk of having 5 times the likelihood of developing ovarian cysts is 29.1%, irregular menstrual cycles have 2 times the risk with a probability of 5.8%, marital status has a contribution as much as 9 times more risk which is 6.8 %, parity in mothers who have given birth will reduce the risk of ovarian cysts by 69.5%, with a contribution of 2%. Obesity has a risk 3 times with a probability of 19.5%, families that have a history of ovarian cysts have a one-time risk with a contribution of 1.4%. Menarche is not associated with ovarian cysts.Keywords : Occurrence of ovarian cysts, menstrual cycle, marriage.
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Kusuma, Fitriyadi, and Kemal Akbar Suryoadji. "Pendekatan Klinis Massa Ovarium di Fasilitas Kesehatan Tingkat Pertama dengan USG menggunakan penilaian IOTA." Cermin Dunia Kedokteran 50, no. 9 (September 1, 2023): 516–21. http://dx.doi.org/10.55175/cdk.v50i9.835.

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Massa ovarium dapat berupa kista yang merupakan kantong berisi cairan di sekitar ovarium ataupun tumor yang merupakan perkembangan sel abnormal. USG dapat menilai massa ovarium pasien berdasarkan penilaian IOTA. Ovarial masses can be cysts or tumors. Ultrasound examination can assess ovarian mass through IOTA assessment.
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FEKATA, ABERA. "REVIEW ON OVARIAN CYSTS IN DAIRY CATTLE, ITS TREATMENT AND PREVENTION." International Journal Of Multidisciplinary Research And Studies 05, no. 05 (August 26, 2022): 01–13. http://dx.doi.org/10.33826/ijmras/v05i05.3.

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The purpose of this paper was to examine ovarian cysts in dairy cattle, as well as their treatment and prevention options. Cysts are simply fluid-filled sacs surrounded by membranes, similar to grapes, and are most commonly seen in dairy cows in the first two months after calving. The development of large, persistent ovulatory follicles in the ovaries and the failure of a mature follicle to ovulate at the right period throughout the estrous cycle describe Ovarian Cysts (OC). The most common types of ovarian cysts in dairy cows are follicular cysts, luteinized cysts, and cystic corpora lutea. Ovarian cysts are usually connected with heredity, high milk production, age, lactation period, body condition score, seasonality, and phytoestrogens, yet the specific causes are unknown. Ovarian Cysts (OC) in dairy cows are diagnosed using a combination of history and clinical signs, transrectal palpation, ultrasonography, and plasma or milk progesterone assays. The main treatments for Cystic Ovarian Disease in dairy cows are Gonadotrophin Releasing Hormone (GnRH), Human Chorionic Gonadotrophin (HCG), and Prostaglandin F2 (PGF2). The economic losses of ovarian cysts are produced by an increase in the number of days open, an increase in the culling rate due to infertility, high treatment expenses, and a longer calving interval. Cystic ovarian disease is prevented through careful genetic selection, the elimination of bulls whose sire daughters have had the cystic ovarian disease, and an appropriate diet.
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