Benign ovarian cyst

4 Interesting Facts of Benign ovarian cyst

  1. Small ovarian cysts are common and may represent an ovarian follicle or corpus luteum; other benign cysts include dermoid cysts and endometriomas
  2. As with ovarian cancer, adnexal mass may be palpated on bimanual examination
  3. As with ovarian cancer, cysts are often clinically silent or can present with pelvic pain; unlike with ovarian cancer, acute severe pain can occur if cyst undergoes torsion, rupture, or hemorrhage 
  4. Differentiated based on results of diagnostic imaging in most cases
    • Ultrasonographic characteristics indicating that cyst is likely and is probably benign include round shape, thin walls, increased acoustic enhancement, anechoic fluid, and absence of septation or nodules 
    • Specific diagnosis is confirmed by histopathologic findings at salpingo-oophorectomy if likelihood of malignancy is high or indeterminate on imaging
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