Prospective analysis of 300 cases of ovarian cysts in Iraqi women

A. J, Tlefih

	Prospective analysis of 300 cases of ovarian cysts in Iraqi women
Kerbala Journal of Medicine
Article 5, Volume 1, Issue 2, 2007, Pages 203-210 PDF (0 K)
Author
Tlefih A. J
Abstract
ackground: Most ovarian cysts (O C) are functional, benign, harmless, and may disappear on their own within a few months. However, they may twist, rupture, bleed, or press on the surrounding organs. It may be difficult to differentiate malignant O Cs from the benign unless histopathological exam is performed. There are many methods for treatment of O Cs. Objectives: The aim of this study is to know the prevalence of O Cs, and to study their types, presentation, and treatment. Methods: Over a 5 year period, from Feb. 2000 to Jan. 2005, a prospective study of 300 women with O Cs was carried out in 3 hospitals in Baghdad (Al - Habeabia hospital, Al - Elweya teaching hospital and Al - Kindy teaching hospital). Results: The highest incidence of O C (35%) was among women aged 21 - 30 years. The functional O C was the most common type (64.7%), and (31%) of them showed spontaneous resolution. (68.3%) of O Cs were singular. (60%) of O Cs were symptomatic, and lower abdominal pain or discomfort was the most common symptom (91.7%). (75%) of cases were treated surgically and cystectomy was the most common surgical procedure that was adopted in this study (72.9 %). (2.7%) of women had malignant O Cs. Out of them (75%) were at advanced stage (III or IV), and (87.5%) were postmenopausal. Conclusion: Most of the O Cs were benign or functional, symptomatic and some may disappear without treatment, but surgery was the main treatment. The highest incidence of O C was among women aged 21 - 30 years. Most malignant O Cs were at advanced stage (III or IV).
Keywords
Graafian follicle; benign cyst; malignant cyst; cystectomy

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