Background: Ovarian cysts are one of the commonest findings in obstetrics and gynecology clinics. The majority of them, which are found in premenopausal women, are benign. On the other hand, malignancy does not exceed 1 in 1,000 women. Ovarian cysts can be detected during a pelvic examination and ultrasound (US) imaging. The present study aimed at investigating the most common presenting symptoms in reproductive- aged women, methods of diagnosis, US features, preliminary US diagnosis, surgical procedure, and final histopathology.
Methods: A retrospective cohort study of diagnosed ovarian cysts was carried out between September 2010 and 2020 at King Fahad University Hospital, Khobar, Saudi Arabia. Statistical analysis for medical records chartsÂ’ data was carried out through using MS Excel.
Results: As we analyzed retrospectively 100 cases, there were 24 (24%) women with follicular cysts, followed by dermoid cysts (17; 17%) and hemorrhagic cysts: luteal, necrosis, follicular, and endometriotic (8, 8%; 4, 4%; 3, 3%; and 2, 2%, respectively); the minor common findings in our study were fibroma (1; 1%), followed by paraovarian cysts (2; 2%). There was only one malignant cyst for a 23-year-old single woman, and it is found to be dysgerminoma (1; 1%), and three serous borderline tumors (3%).
Conclusion: Although the majority of diagnosed ovarian cysts are benign, careful assessment should be taken when dealing with complex or solid cysts, a frozen section is an important step intraoperatively for further surgical staging of borderline or malignant cysts to avoid reoperation on patients.
Key words: Ovarian cysts, Presentation, Diagnosis, Histopathology.
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