Benign ovarian cysts
Benign ovarian cysts
Updated: 12/16/2020
© Jun Wang, MD, PhD
Follicular cyst
- Same histology as normal follicle, lined by granulosa and theca interna cells
- At least 3 cm
- If < 3 cm: cystic follicle
- Common in reproductive age
- Associated with lack of LH surge or anovulation
- Usually asymptomatic, or forms adnexal mass
- Treatment: Surgical if symptomatic
Luteal cyst
- Lined by luteinized granulosa and theca cells
- 3 cm or larger
- Cystic corpus luteum if < 3 cm
- Reproductive years, at end of menstrual cycle, or during pregnancy
- Associated with abnormal release anterior pituitary gonadotropins
- Palpable adnexal mass or with symptoms related to increased estrogen production
- May rupture and cause pain and hemorrhage
- Most cases regress in 2 months
Inclusion cyst
- Invaginations of surface epithelium
- Usually in older women
- Unclear etiology
- No known clinical significance
- Cuboidal, columnar or flat epithelial lining
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