Treatment Dilemma of Simple Cyst in Menopausal Women

Abstract

ABSTRACT Objective Can we offer conservative treatment for the menopausal women who are having simple cysts? Study design It is a prospective cross sectional study carried out in ZHSikder medical college & hospital, Medinova and Popular hospital. The study period was from january 2011 to January 2016. Materials and methods 500 menopausal women with simple cysts were enrolled after counseling and taking written consent. Inclusion criteria was cysts size should not be more than 5 cm, they should be unilocular, without having any solid component or any debris. Exclusion criteria was women with family history of cancer of ovary, breast, or colon or women with HRT therapy. Thorough history taking, clinical examination, and some investigation like CA125, TVS with Color Doppler was carried out for all the women. CT Scan.MRI, and PET Scan were reserved for selected cases. All the patients were followed up every 3 monthly for 3 to 5 years. Surgery was done if the patient developed any symptoms, or increment of sizes of cysts or there was any sonographic changes were evident. MRI1 (malignancy risk index ) was calculated for each patient. Data were analyzed by SPSS where all calculation rate of less than 0.05 was considered significant. Results Among 500 cysts, 285 (57%) cysts resolved spontaneously which is highly significant( p = < 0.05), 165 (33%) cysts needed surgery and only 50(10%) cysts remained without significant changes. Histopathology of surgical specimen revealed all were benign except 4 cysts, i.e., < 1% became malignant or malignant potential. Conclusion Menopausal women with simple cysts not more than 5cm,which are unilocular, unilateral, without having any solid component and with normal Doppler study are rarely malignant. So if MRI1 is below 200 we may avoid unnecessary surgery and assure the menopausal women for the conservative treatment with regular follow up. How to cite this article Nasreen SZA, Shahreen S, Huq S, Huq S. Treatment Dilemma of Simple Cyst in Menopausal Women. J South Asian Feder Menopause Soc 2017;5(2):75-80.