A quantitative analysis infection of ovarian cyst based on examination data of computed tomography and type-B ultrasonography
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Abstract:
In order to explore the accuracy of computed tomography (CT) and type-B ultrasonography in the examinations infection of ovarian cyst, the computed tomography and type-B ultrasonography were used for the examinations of 50 patients with infection of ovarian cysts, whose results were analyzed to determine the accuracy. Results have shown that the misdiagnosis rates of CT for patients with infection of ovarian cyst reached 18%, in which the misdiagnosis rate of small lesion 2.1 × 1.5 × 1.8 cm was relatively higher; in addition, the misdiagnosis rates of type-B ultrasonography reached 26%, in which the misdiagnosis rate of large lesion 2.6 × 1.6 × 1.5 cm was relatively higher; however, the misdiagnosis rates of the joint examination of these methods were only 2%. In summary, the deficiencies of CT and type-B ultrasonography may lead to misdiagnosis; therefore, in the clinical practices, the examinations of patients with infection of ovarian cyst should combine CT and type-B ultrasonography together to avoid the misdiagnosis and obtain the most accurate results as much as possible, which is important to both the patients and the development of medical examinations.Keywords:
Ovarian cyst
Objective To study the clinical value of injection of Xiaozhiling under ultrasonography guidance for ovarian cyst.Methods Under the ultrasonography guidance,the ovarian cyst was punctured by 18G PTC and cyst fluid was taken out completely.After cyst was irrigate clean with normal saline or Metronidazole,1/2 cyst-liquid Xiaozhiling was injected into cyst and took out 5 min later,then 1/8 cyst-liquid Xiaozhiling was injected again.Three months later,the cysts were measured again.Results All of 34 cases(28 patients) were effective,the effective rate was 100%.28 cases were cured,the cure rate was 82.4%.No patients had serious adverse reaction and side-effect.No patients relapsed in half year.Conclusions Injection of Xiaozhiling under ultrasonography guidance is safe and effective for treating ovarian cyst.
Ovarian cyst
Cure rate
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The aims of this study were to determine the concentrations of the progesterone, oestradiol-17-beta, vitamin A, C and beta-carotene in plasma and cyst fluid and to relate these values with cystic diameter and membrane thickness of Holstein cattle with ovarian luteal cyst. 1650 Holstein cows were examined for the presence of the ovarian cyst and luteal and follicular cystic ovaries were obtained following slaughtering in personal slaughterhouse in Konya-Turkey. 15 Luteal and 15 follicular cystic ovaries were distinguished by rectal palpation and by post mortem ultrasonographic examination. Plasma and cyst fluid, hormone and vitamin analyses were carried out by EIA method and spectrophotometric measurement respectively. Although there was no relationship between beta-carotene and vitamin A in plasma and cyst fluid of both cyst type and hormone concentrations, the vitamin C concentration of cyst fluid was found significantly higher in luteal cyst than in follicular cyst. Moreover, there is a positive correlation among values of the vitamin C concentrations of cyst fluid and cystic membrane thickness, plasma and the cyst fluid progesterone concentrations, but there is a negative correlation among the vitamin C concentrations of cystic fluid and oestradiol 17beta levels of plasma and cyst fluid. In conclusion, vitamin C concentration of cyst fluid supported ultrasonographic and endocrinologic findings. Also, it can be postulated that vitamin C is probably effective on progesterone synthesis in the luteal tissue of cyst.
Ovarian cyst
Follicular Cyst
Follicular fluid
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Ovarian cyst
Conservative Management
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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.
Ovarian cyst
Progestin
Follicular Cyst
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The aim of this paper was to evaluate correlation between cyst recurrence and some cyst characteristics after sclerotherapy of non-neoplastic ovarian cyst with alcohol-erythromycin combination.Fifty two cases of simple ovarian cysts were subjected to sclerotherapy with alcohol and erythromycin. Two patients were excluded due to suspicious cytologic result. All patients were followed-up monthly with color Doppler ultrasonography for over 12 months. Failure of procedure was considered if recurrent cyst diameter exceeds 5 centimeters detected by ultrasound. Cyst size, volume and color of aspirate, steroid hormone, and tumor marker levels of the cyst fluid were correlated to the recurrence rate.The fluid of cyst was serous in 32 cases and dark chocolate-colored in twenty cases. Cytological analyses of thirty cysts were acellular sediment, twenty were suitable with endometrioma and two were reported as suspicious. At 12-month follow-up, 12 cyst recurrences was detected. There was no difference in aspirated cyst volume, cyst size and FSH and LH content of recurrent and resolved cyst. The cyst wall thickness of recurrent cyst was higher than that of resolved cyst (P<0.001). The mean estradiol and progesterone concentrations of resolved cysts were significantly higher than that of recurrent cysts on the other hand, the mean CA125 levels in recurrent cysts (347.9±204.4) was significantly higher as compared to the mean CA125 concentrations of resolved cyst (16.75±22.45).Aspiration and sclerotherapy with alcohol and erythromycin yielded a relatively high recurrence rate in cyst with a bloody aspirate and high CA125 levels in cyst fluid.
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Bloody
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Haemorrhage in an ovarian cyst is very common. These cyst are known as haemorrhagic ovarian cysts (HOCs).Most of the cyst disappears spontaneously, but certain cyst requires surgical intervention. HOCs are formed because of occurrence of bleeding into a follicular or corpus luteum cyst. Allopathic system of medicines used various hormonal pills for its management which may have adverse drug reactions. Homoeopathic medicines are very helpful to manage such conditions. This article is about a case of 27 years old female who was suffering from haemorrhagic cyst. Homoeopathic medicine was given on the basis of totality of symptoms and patient cured within three months of treatment. Patient’s consent has been taken for the publication of this case report.
Ovarian cyst
Pill
Follicular Cyst
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Ovarian cyst
Univariate analysis
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Advances in perinatal sonography have brought to light the problem of ovarian cysts in the fetus and their management during pregnancy and after birth. The majority of such cysts disappear during infancy. According to most researchers, surgery is required when cyst diameter exceeds 5 cm. Complex cysts and complicated cysts also require surgical intervention.To present an analysis of the diagnostic and surgical approach to ovarian cysts disclosed antenatally or during the first months of life and managed at the Department of Pediatric and Oncological Surgery, Pomeranian Medical University in Szczecin.A retrospective study was done in 11 newborns/infants treated for an ovarian cyst in 1998-2004, including 5 with antenatal diagnosis of ovarian cyst. Circumstances and time when the decision to operate was made were studied in the context of eventual complications and risk of loss of ovary.The decision to operate in 10 newborns/infants (one cyst with a diameter of 1.86cm disappeared spontaneously in the fifth month of life) was made when cyst diameter was 4cm or greater or when the cyst was smaller but revealed mobility and sonographic signs of a complex cyst or torsion (5 cases). The diameter of cysts disclosed perinatally ranged from 2.5 to 7 cm (one of them was a chocolate cyst). The ovary was spared in eight patients.Early sonographic monitoring should be undertaken in newborns with perinatal diagnosis of ovarian cyst. Because of the risk of torsion (50% of cases in the present study), surgical intervention is necessary when cyst diameter is 4 cm or greater.
Ovarian cyst
Ovarian torsion
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Objective:The study aimed at evaluating the differences of ultrasonography and Computed Tomography in diagnosis for cholelithiasis.Methods: 250 cases with cholelithiasis were examined after conventional ultrasound and Computed Tomography,we compare the differences of two methods.Results: Computed Tomography is better than Ultrasonography in diagnose hepatic cholelithiasis,but there is no remarkable difference of two diagnostic method for cholecystic stones.Conclusion: Computed Tomography is better for diagnosing extrahepatic stones and we can make use of the two methods for cholelithiasis.
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