Ultrasonic, cytologic and histopathologic findings in adnexal cysts of infertile females

ABSTRACT

14 patients enrolled in the infertility program of the International Fertility Center [IFC], Alexandria, Egypt were included in this study. Ultrasound guided fine needle aspiration [FNA] of adnexal cysts incidentally discovered during evaluation of these 14 patients was performed under general anesthesia, and the sterile aspirate was centrifuged and examined cytologically. Twelve patients had non surgical cysts [simple cysts, functional cysts, endometriotic chocolate cysts and acute nonspecific cophoritis]. One patient had pseudomucinous cystadenoma, ovary and another had a papillary serous cystic lesion, the biologic nature of which was not possibly determined cytologically. It was concluded that ultrasound-guided FNA of incidentally discovered adnexal cysts offers definitive diagnosis of these cysts. Prompt intervention of cysts with neoplastic change overrides the risk of dissemination of malignant cells from needle puncture