Cytomorphologic criteria of benign ovarian cysts

Twenty-two surgically removed ovarian cysts of variable sizes [5-11 cm], suggested to be benign based on clinical and ultrasonographic studies were aspirated with a 22 gauge needle and cytologic results were compared to histologic findings. The mean age for the patients was 38 years. Examination of the Papanicolaou stained slides showed insufficient materials in 2 cases [9.5%]. Out of 20 cases, 8 cases were cellular and suggested follicular or luteal cysts, 3 cases of endometriosis, 5 benign tumours of epithelial origin 3 benign cysts of indeterminant origin and is suspicious of malignancy. In summary, 85.7% of benign ovarian cystic masses have benign cytologic criteria. However, caution should be taken in interpretation in cases cytology presents features suspicious of malignancy

Comparison between colposcopically directed punch biopsy and large loop excision of the transformation zone [LLETZ]

The study comprises [40] women with suspected cervical intraepithelial neoplasia CIN attending the colposcopy clinic at Ain Shams Early Cancer Detection unit. All women were subjected for colposcopy. directed punch biopsy and large loop excision of the transformation zone [LLETZ]. Colposcopy was satisfactory in all women, punch biopsies were adequate for pathological examinations, the excised transformation zones were also adequate. The results of LLETZ did not agree with that of punch biopsies in [25% of cases. The pathology detected by punch biopsy was superior than LLETZ in 20% of cases. LLETZ revealed pathology greater than punch biopsy in [5%] of cases. Punch biopsy is an adequate method of diagnosis specially for smaller lesions, concerning larger, ones, it is better to have more than one biopsy or LLETZ