Prospective analysis of 300 cases of ovarian cysts in Iraqi women
Kerbala Journal of Medicine,
Volume 1, Issue 2, Pages 203-210
Abstractackground: 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
(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%)
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).
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