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Functional Ovarian Cyst
Karen Y. Oh, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Follicular cyst (FC)
              • Corpus luteum cyst (CLC)
            • Definitions

              • 2 types of functional cysts
                • Follicular cyst forms from persistent follicle, ovulation does not occur
                  • Associated with elevated serum estrogen
                • Corpus luteum cyst forms from graafian follicle following ovulation

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • CT Findings

                  • MR Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • Gross Pathologic & Surgical Features

                          • Microscopic Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Rosenkrantz AB et al: US of incidental adnexal cysts: adherence of radiologists to the 2010 Society of Radiologists in Ultrasound guidelines. Radiology. 271(1):262-71, 2014
                                        2. Ghosh E et al: Recommendations for adnexal cysts: have the Society of Radiologists in Ultrasound consensus conference guidelines affected utilization of ultrasound? Ultrasound Q. 29(1):21-4, 2013
                                        3. Valentin L et al: Risk of malignancy in unilocular cysts: a study of 1148 adnexal masses classified as unilocular cysts at transvaginal ultrasound and review of the literature. Ultrasound Obstet Gynecol. 41(1):80-9, 2013
                                        4. Faschingbauer F et al: Subjective assessment of ovarian masses using pattern recognition: the impact of experience on diagnostic performance and interobserver variability. Arch Gynecol Obstet. 285(6):1663-9, 2012
                                        5. Alcázar JL et al: Assessment of cyst content using mean gray value for discriminating endometrioma from other unilocular cysts in premenopausal women. Ultrasound Obstet Gynecol. 35(2):228-32, 2010
                                        6. Levine D et al: Management of asymptomatic ovarian and other adnexal cysts imaged at US: Society of Radiologists in Ultrasound Consensus Conference Statement. Radiology. 256(3):943-54, 2010
                                        7. Levine D et al: Management of asymptomatic ovarian and other adnexal cysts imaged at US Society of Radiologists in Ultrasound consensus conference statement. Ultrasound Q. 26(3):121-31, 2010
                                        8. Timmerman D et al: Simple ultrasound rules to distinguish between benign and malignant adnexal masses before surgery: prospective validation by IOTA group. BMJ. 341:c6839, 2010
                                        9. Sokalska A et al: Diagnostic accuracy of transvaginal ultrasound examination for assigning a specific diagnosis to adnexal masses. Ultrasound Obstet Gynecol. 34(4):462-70, 2009
                                        10. Spinelli C et al: Functional ovarian lesions in children and adolescents: when to remove them. Gynecol Endocrinol. 25(5):294-8, 2009
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Clinical Issues

                                                • Diagnostic Checklist

                                                  TERMINOLOGY

                                                  • Abbreviations

                                                    • Follicular cyst (FC)
                                                    • Corpus luteum cyst (CLC)
                                                  • Definitions

                                                    • 2 types of functional cysts
                                                      • Follicular cyst forms from persistent follicle, ovulation does not occur
                                                        • Associated with elevated serum estrogen
                                                      • Corpus luteum cyst forms from graafian follicle following ovulation

                                                  IMAGING

                                                  • General Features

                                                    • Ultrasonographic Findings

                                                      • CT Findings

                                                        • MR Findings

                                                          • Imaging Recommendations

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • Gross Pathologic & Surgical Features

                                                                • Microscopic Features

                                                                  CLINICAL ISSUES

                                                                  • Presentation

                                                                    • Demographics

                                                                      • Natural History & Prognosis

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Consider

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Rosenkrantz AB et al: US of incidental adnexal cysts: adherence of radiologists to the 2010 Society of Radiologists in Ultrasound guidelines. Radiology. 271(1):262-71, 2014
                                                                              2. Ghosh E et al: Recommendations for adnexal cysts: have the Society of Radiologists in Ultrasound consensus conference guidelines affected utilization of ultrasound? Ultrasound Q. 29(1):21-4, 2013
                                                                              3. Valentin L et al: Risk of malignancy in unilocular cysts: a study of 1148 adnexal masses classified as unilocular cysts at transvaginal ultrasound and review of the literature. Ultrasound Obstet Gynecol. 41(1):80-9, 2013
                                                                              4. Faschingbauer F et al: Subjective assessment of ovarian masses using pattern recognition: the impact of experience on diagnostic performance and interobserver variability. Arch Gynecol Obstet. 285(6):1663-9, 2012
                                                                              5. Alcázar JL et al: Assessment of cyst content using mean gray value for discriminating endometrioma from other unilocular cysts in premenopausal women. Ultrasound Obstet Gynecol. 35(2):228-32, 2010
                                                                              6. Levine D et al: Management of asymptomatic ovarian and other adnexal cysts imaged at US: Society of Radiologists in Ultrasound Consensus Conference Statement. Radiology. 256(3):943-54, 2010
                                                                              7. Levine D et al: Management of asymptomatic ovarian and other adnexal cysts imaged at US Society of Radiologists in Ultrasound consensus conference statement. Ultrasound Q. 26(3):121-31, 2010
                                                                              8. Timmerman D et al: Simple ultrasound rules to distinguish between benign and malignant adnexal masses before surgery: prospective validation by IOTA group. BMJ. 341:c6839, 2010
                                                                              9. Sokalska A et al: Diagnostic accuracy of transvaginal ultrasound examination for assigning a specific diagnosis to adnexal masses. Ultrasound Obstet Gynecol. 34(4):462-70, 2009
                                                                              10. Spinelli C et al: Functional ovarian lesions in children and adolescents: when to remove them. Gynecol Endocrinol. 25(5):294-8, 2009