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  • Title: Prevalence and histologic diagnosis of adnexal cysts in postmenopausal women: an autopsy study.
    Author: Dørum A, Blom GP, Ekerhovd E, Granberg S.
    Journal: Am J Obstet Gynecol; 2005 Jan; 192(1):48-54. PubMed ID: 15672002.
    Abstract:
    OBJECTIVE: The purpose of this autopsy study was to examine the prevalence and histologic condition of adnexal cysts in postmenopausal women. STUDY DESIGN: Adnexa of 234 postmenopausal women who had died from nongynecologic diseases were examined by the team pathologist. RESULTS: Ovarian cysts were found in 36 of the women (15.4%). Nine women (3.8%) had ovarian cysts with a diameter between 20 and < or =50 mm; 4 women (1.7%) had cysts that were >50 mm in diameter. Four women had bilateral ovarian cysts. Paraovarian cysts were found in 11 women (4.7%). All cysts were benign, except for 1 woman, who had bilateral serous cystadenoma of borderline type. Macroscopically, the borderline cysts were multilocular with mean diameters of 60 mm and 15 mm, respectively. CONCLUSION: Because of the high prevalence of benign adnexal cysts, the identification of small unilocular cysts in postmenopausal women should be regarded as a normal finding.
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