Ovarian Cysts In Women Research Articles

Evaluation of some hematological and biochemical parameters for women with polycystic ovary syndrome in Wasit Governorate

The aim of the study; the Study of physiological causes and risk factors of ovarian cysts in women and Analyzing the results statistically to determine the extent of the relationship between the physiological and biochemical causes of the occurrence of polycysticovaries. Polycystic ovary syndrome (PCOS) is one of the commonest endocrine disorders affecting many females in reproductive period which start from menarche till the menopause and commonly caused infertility around the world, and is characterized by irregular menstrual cycle, Hyperandrogensim and polycystic ovary; it can be considered a conditions involving reproductive, metabolic and cardiovascular components leading to lifelong health implication. Its prevalence among infertile women is between (15% to 20%). There is evidence that PCOS is a pro inflammatory disorder, characterized by the presence of low grade chronic inflammation that correlated with obesity or insulin resistance (IR). The purpose of this study is to investigate the role of study included 100 females diagnosed with PCOS, there were recruited from Al-kut hospital in Wasit during November 2022 until January 2023 , the diagnosis of polycystic ovary syndrome was based on the Rotterdam 2003 criteria. The control group consists of 50 fertile women who have regular menstrual cycle with no sign of hyperandrogenism and subjected to ultrasound examination and have normal hormonal levels. The age was identical in both groups and it was between (20-40) years. . Body mass index (BMI) for both patients and control group was calculated. The questionnaire form has been filled for each patient and control. Hormones levels luteinizing hormone (LH), follicle stimulating hormone (FSH), and thyroid stimulating hormone (TSH) were estimated. The present study was carried out in two parts: immunological and physiological study. ELISA technique has been used to determine the serum level of High –sensitivity C-reactive protin(Hscrp) . The results of Hscrp serum level was significantly increased (p<0.oo5) in pcos patient(17.38+1.36) The results for physiological study demonstrated that insulin serum level recorded a highly significant difference (p <0.05) in PCOS patients compared to control group, the mean level of this hormone for PCOS patients and control were (17.18±2.84) μIU/mL, (8.68±1.97) μIU/mL respective. While this study showed there were no significant differences in serum levels of T.protin, and TSH between PCOS patients (8.08± 1,28). ng/mL(, 0.79±0.17)μg/dL, and control group (7.09±0.51) ng/mL,( 1.20±0.09) μg/dL. This study illustrate that the serum levels of Hscrp and insulin were elevated in PCOS comparing to healthy women and this high levels related to PCOS independent on the presence of obesity or IR., and there was a positive correlation between the insulin hormone with the parameters Hscrp and this may be due to the background of PCOS which considered as inflammatory disease The reslts showed that ,Creatin ,cholesterol,GPT, and LDL ,Lympho ,TG were significantly increased in pcos patients than control group

Comparison of the Effect of Honey, Olive, Propolis Combined Vaginal Cream With OCP in the Treatment of Functional Ovarian Cysts in Women of Reproductive Age Referring to Health Centers, Hamadan, Iran 2020-2021

Background: The prevalence of functional ovarian cysts in women is high, and choosing an appropriate, and uncomplicated treatment is necessary. Objective: Compare the effectiveness of honey, olive, and propolis combined vaginal cream with OCP in the treatment of functional ovarian cysts in women of reproductive age in Iran. Methods: This randomized clinical trial study was performed on 40 women of reproductive age referred to Hamadan health centers in 2020. Patients were randomized into two groups, A and B. Group A received oral contraception pills for two consecutive cycles from the seventh day of the menstrual cycle tablets for 21 days after the end of menstruation until the beginning of the next menstruation. Group B received honey, olive, propolis combined vaginal cream. In both groups, the treatment continued for two consecutive cycles. Data was collected through a checklist that included clinical symptoms and ultrasound results. The results were analyzed by Stata-13 and the significance level cut-off was considered less than 0.05. Results: Intra-group comparisons showed that there was a statistically significant (P < 0.05) decrease in cyst size after the intervention in both groups. Intergroup differences were not statistically significant (P ˃ 0.05). Conclusion: Honey, olive, propolis combined vaginal cream (Nika) can be effective like oral contraceptive pills in reducing the size of ovarian cysts. It can be recommended for the treatment of functional ovarian cysts. Clinical Trial Registration Number: IRCT20120215009014N384

DIGITAL IMAGES CLASSIFICATION IN AUTOMATIC LAPAROSCOPIC DIAGNOSTICS

The aim: To evaluate the automatic computer diagnostic (ACD) systems, which were developed, based on two classifiers-HAAR features cascade and AdaBoost for the laparoscopic diagnostics of appendicitis and ovarian cysts in women with chronic pelvic pain. Materials and methods: The training of HAAR features cascade, and AdaBoost classifiers were performed with images/ frames of laparoscopic diagnostics. Both gamma-corrected RGB and RGB converted into HSV frames were used for training. Descriptors were extracted from images with the method of Local Binary Pattern (LBP), which includes both data on color characteristics («modified color LBP»-MCLBP) and textural features. Results: Classification of test video images revealed that the highest recall for appendicitis diagnostics was achieved after training of AdaBoost with MCLBP descriptors extracted from RGB images - 0.708, and in the case of ovarian cysts diagnostics - for MCLBP gained from RGB images - 0.886 (P<0.05). Developed AdaBoost-based ACD system achieved a 73.6% correct classification rate (accuracy) for appendicitis and 85.4% for ovarian cysts. The accuracy of the HAAR features classifier was highest in the case of ovarian cysts identification and achieved 0,653 (RGB) - 0,708 (HSV) values (P<0.05). Conclusions: The HAAR feature-based cascade classifier turned out to be less e"ective when compared with the AdaBoost classifier trained with MCLBP descriptors. Ovarian cysts were better diagnosed when compared with appendicitis with the developed ACD.

DETERMINAN KEJADIAN KISTA OVARIUM PADA WANITA USIA SUBUR DI KABUPATEN BALANGAN MENGGUNAKAN REGRESI LOGISTIK BINER

Ovarian cysts are the most common gynecologic cases of many gynecologic cancers. Ovarian cyst is a disease that causes many deaths. This high mortality rate is due to the fact that the disease is initially asymptomatic and only causes complaints when metastases have occurred so that 60-70% of patients come at an advanced stage. Based on the results of the 2007 Basic Health Research survey, the number of patients with ovarian cysts in South Kalimantan was 1,2% of 56 respondents. This study took a case study in a district in South Kalimantan, namely Balangan Regency with the aim of explaining the characteristics of the distribution of ovarian cysts and the factors that influence the incidence of ovarian cysts in women of childbearing age in Balangan Regency using binary logistic regression method. Based on descriptive statistical analysis, it was found that the distribution characteristics of ovarian cyst sufferers were from 59 people who had checked for cyst symptoms at Balangan Hospital, 46 people were known to have cysts, while 13 people were not known to have cysts. Based on binary logistic regression analysis, the factors that influence the incidence of ovarian cysts for data on the incidence of ovarian cysts in Balangan Hospital are parity and employment status, while the age factor has no significant effect. Using the Odss Ratio (OR) parity value, patients with nulliparous status had a 0,033 higher risk of developing ovarian cysts than patients with multiparous status. using the OR value of the occupational status patients who had a job had a 0,014 higher risk of developing ovarian cysts than patients who did not have a job. Keywords: Ovarian cysts, Logistic binary, Odds Ratio.

Ovarian cyst in woman treated with mitotane, side effects not to be ignored

Searchable abstracts of presentations at key conferences in endocrinology ISSN 1470-3947 (print) | ISSN 1479-6848 (online)

Machine learning with different digital images classification in laparoscopic surgery

The evaluation of the effectiveness of the automatic computer diagnostic (ACD) systems developed based on two classifiers – HAAR features cascade and AdaBoost for the laparoscopic diagnostics of appendicitis and ovarian cysts in women with chronic pelvic pain is presented. The training of HAAR features cascade, and AdaBoost classifiers were performed with images/ frames, which have been extracted from video gained in laparoscopic diagnostics. Both gamma-corrected RGB and RGB converted into HSV frames were used for training. Descriptors were extracted from images with the method of Local Binary Pattern (LBP), which includes both data on color characteristics («modified color LBP» - MCLBP) and textural characteristics, which have been used later on for AdaBoost classifier training. Classification of test video images revealed that the highest recall for appendicitis diagnostics was achieved after training of AdaBoost with MCLBP descriptors extracted from RGB images – 0.708, and in the case of ovarian cysts diagnostics – for MCLBP gained from RGB images – 0.886.&#x0D; Developed AdaBoost-based ACD system achieved a 73.6% correct classification rate (accuracy) for appendicitis and 85.4% for ovarian cysts. The accuracy of the HAAR features classifier was highest in the case of ovarian cysts identification and achieved 0.653 (RGB) – 0.708 (HSV) values. It was concluded that the HAAR feature-based cascade classifier turned to be less effective when compared with the AdaBoost classifier trained with MCLBP descriptors. Ovarian cysts were better diagnosed when compared with appendicitis with the developed ACD.

Prognostic significance of the process of apoptosis in endometrioid ovarian cysts in women with infertility

Prognostic significance of the process of apoptosis in endometrioid ovarian cysts in women with infertility

Laparoscopic approach for huge benign ovarian cyst in woman with history of previous 5 laparotomies (including 4 cesarean section)

An adnexal mass (mass of the ovary, fallopian tube, or surrounding connective tissues) is a common gynecologic problem. In the United States, it is estimated that there is a 5 to 10% lifetime risk for women undergoing surgery for a suspected ovarian neoplasm. Adnexal masses may be found in females of all ages, from fetuses to older adults, and there are a wide variety of types of masses. Today, the surgical treatment has become more conservative and less invasive; hence, a laparoscopic approach in the presence of benign cysts has become a golden standard. In the past, patients with previous abdominal surgery were discouraged from undergoing laparoscopic surgery because of its increased risk of bowel injury caused by needle and trocar insertion. Complications occur two times more frequently in patients with previous laparotomy in a study of long series. The potential risk for injury of organs adherent to the abdominal wall during veress needle or trocar insertion as well as the necessity for adhesiolysis and its attendant complications are the two major specific problems constraining surgeons from performing laparoscopic cystectomy/ oophorectomy for patients with previous abdominal surgery. Herein, we report a case of a 32-year-old woman P4 + 2 with history of previous four cesarean section and a following laparotomy for interval sterilization presented to our clinic with abdominal mass, discovered by ultrasound scan, managed by a laparoscopic approach.Keywords: Benign ovarian cyst, laparoscopy, ovary, previous cesarean section, previous laparotomy

The additional diagnostic value of NLR and PLR for CA-125 in the differential diagnosis of endometrioma and benign ovarian cysts in women of reproductive age: a retrospective case-control study

Objectives: Aim of this study is to investigate the diagnostic value of neutrophil/lymphocyte ratio (NLR) and platelet/lymphocyte ratio (PLR) for cancer antigen-125 (CA-125) in a differential diagnosis of endometrioma from benign ovarian cysts. Methods: In this retrospective study, the medical data of a total of 213 patients aged &amp;lt; 40 years who underwent laparoscopic or laparotomic surgery for ovarian cysts between April 2015 and June 2018 were analyzed. The patients were divided into two groups, as those with endometriomas and those with other benign ovarian cysts, all which had been confirmed histopathologically. Data on age, body mass index (BMI), preoperative US findings, complete blood count analysis results, follicle-stimulating hormone (FSH) levels, and the presence of dysmenorrhea, dyspareunia and chronic pelvic pain were recorded. Results: NLR, PLR and CA-125 were increased in the patients with endometrioma, although increases in the NLR and PLR alone or combined did not contribute to the sensitivity or specificity of CA-125. Conclusions: The results of our study suggest that NLR and PLR did not contribute to the diagnostic value of CA-125 in the preoperative differential diagnosis of endometriomas or other benign ovarian cysts. In addition, CA-125 was not associated with clinical symptoms, although a relationship was identified between NLR and dysmenorrhea, and between PLR and lesion size, which may be the research focus of further studies.

Проблемні питання лікування пацієнток репродуктивного віку з функціональними кістами яєчників

The objective: increase the effectiveness of treatment and improve the quality of life of patients with functional ovarian cysts. Materials and methods. The study included 104 patients with functional ovarian cysts of reproductive age and 50 healthy women. A general clinical, psychological, sonographic, immunological, molecular genetic examination was conducted. Results. The analysis of the study data revealed the presence of chronic inflammatory diseases of the pelvic organs in 72.83% of the patients, the infection with Ureaplasma spp. in 39.58% of cases, Gardnerella vaginalis – 64.58%, Mycoplasma spp. – in 20.80%, Chlamidia trachomatis– in 23.08%. When conducting an ultrasound study, only 23.08% of patients manage to establish the nature of the cysts of the ovary. There was a high level of personal anxiety in 52.24% of patients Conclusion. The application of our proposed complex therapy of functional ovarian cysts in women of reproductive age showed a high recovery rate and a low relapse rate. Key words: functional ovarian cysts, reproductive age, treatment, prophylaxis, micronized progesterone.

Hypothyroidism affects lipid and glycogen content and peroxisome proliferator-activated receptor δ expression in the ovary of the rabbit.

Dyslipidaemia and hyperglycaemia are associated with ovarian failure and both have been related to hypothyroidism. Hypothyroidism promotes anovulation and ovarian cysts in women and reduces the size of follicles and the expression of aromatase in the ovary of rabbits. Considering that ovarian steroidogenesis and ovulation depend on lipid metabolism and signalling, the aim of the present study was to analyse the effect of hypothyroidism on the lipid content and expression of peroxisome proliferator-activated receptor (PPAR) δ in the ovary. Ovaries from female rabbits belonging to the control (n=7) and hypothyroid (n=7) groups were processed to measure total cholesterol (TC), triacylglycerol (TAG) and glycogen content, as well as to determine the presence of granules containing oxidized lipids (oxysterols and lipofuscin) and the relative expression of perilipin A (PLIN-A) and PPARδ. Hypothyroidism increased TC and glycogen content, but reduced TAG content in the ovary. This was accompanied by a reduction in the expression of PLIN-A in total and cytosolic extracts, changes in the presence of granules containing oxidative lipids and low PPARδ expression. The results of the present study suggest that hypothyroidism modifies the content and signalling of lipids in the ovary, possibly affecting follicle maturation. These results could improve our understanding of the association between hypothyroidism and infertility in females.

Co-existence of benign gynecological tumors with endometriosis in a group of 1,000 women.

The purpose of this study was two-fold, first to investigate the association between endometriosis and the risk of benign gynecologic tumors and, secondly, to evaluate the distribution of endometrioma and ovarian cysts in women with endometriosis. The medical and pathological reports of 1,000 women with endometriosis were retrospectively reviewed. The incidence of ovarian cysts, uterine leiomyomas and adenomyosis, as well as the side of ovarian cysts were further compared. A total of 295 cases of endometriomas, 172 cases of adenomyosis, 173 cases of ovarian cysts and 89 cases of uterine leiomyomas were confirmed histologically in patients with endometriosis. Serous cysts represented the most frequent diagnosis (n=81, 8.1%) in women with ovarian cysts, followed by dermoid cysts (n=15, 1.2%). In women with unilateral endometriomas, the observed proportion of left-sided cysts was found in 65.6% (164 of 250), significantly higher compared with right-sided cysts (86 out of 250, 34.4%) (P<0.001). Moreover, patients with other ovarian cysts were recognized as left-sided in 60% (96 out of 160) of cases, significantly higher compared with right-sided cysts (64 out of 160, 40%) (P<0.01). On the whole, the current study indicates that endometriosis may be associated with an increased risk of benign gynecological tumors, such as ovarian cysts, adenomyosis and leiomyomas. The results of this study confirm a left lateral predisposition of endometriomas and ovarian cysts.

Study the effect of a single dose long acting progesterone in prevention of post hysterectomy functional ovarian cysts

Background: Approximately 600,000 hysterectomies are performed annually in the United States, and more than one-third of women have had a hysterectomy by age 60 years. The most common diagnoses among women undergoing hysterectomy are uterine leiomyomata, adenomyosis, uterine prolapse and cancer or hyperplasia.Functional cysts may be single or multiple, may be bilateral and vary in size but generally do not exceed 5.0 cm in diameter. They are the result of failure of absorption of the fluid in an incompletely developed follicle or anovulation. They are usually asymptomatic unless hemorrhage, rupture or torsion supervenes, in which case symptoms and signs of acute abdomen develop. A progestogen-only injectable contraceptive is a long-acting, reversible contraceptive. A synthetic progesterone, or progestogen, is slowly released into the systemic circulation following intramuscular (IM) or subcutaneous (SC) injection. Methods: The study included 68 cases who were subjected to open hysterectomy without oophorectomy for benign gynecologic conditions, cases are randomly selected and divided into 2 groups. Group A: 34 cases received a single dose of 150 mg intramuscular depot medroxyprogesterone acetate as Depoprovera® within 7 to 10 days postoperative and Group B: 34 cases did not receive any medications. A post operative follow up was done every one month for six months postoperative to exclude the development of ovarian cyst by transvaginal and trans-abdominal ultrasound examination. Result: the statistical analysis of the collected data showed a statistical significance regarding the development of ovarian cysts in the control group. Conclusion: Single dose long acting progesterone after hysterectomy without oophorectomy is beneficial in prevention of development of simple functional ovarian cysts in women with hormonally active ovaries.

Should We Manage Large Ovarian Cysts Laparoscopically?

Abstract Objective: The aim of this research was to evaluate the feasibility and surgical outcomes of laparoscopic surgery for large ovarian cysts in women <40 years of age. Materials and Methods: This was a retrospective evaluation (Canadian Task Force classification 11-2 design) of 55 women (ages <40) with large ovarian cysts (≥10 cm) with features suggestive of benign disease managed laparoscopically at Paul's Hospital, in Cochin, Kerala, from July 2006 to April 2013. All patients were followed-up for a minimum of 1 year. Patients who were diagnosed as having borderline ovarian tumors were evaluated for their present clinical status at the end of study. Results: Laparoscopic surgery was performed successfully for all patients. The mean operative time, estimated blood loss, and hospital stay were, respectively, 109.6 minutes (range: 40–255), 304.6 mL (range: 100–650), and 1.1 days (range: 1–3). Conversion to laparotomy was performed in none of the patients. Five cases of borderline malignancy were detec...

The relationship between the dietary protein intake and functional ovarian cysts

Summary. Objective: Although ovarian cysts are of an unknown etiology, there is some information about the associated risk factors. To considering the high prevalence of ovarian cysts and the associated complications. This study aimed to assess the relationship between the dietary protein intake and the functional ovarian cysts in women at reproductive age. Methods: This case-control study was conducted on 264 women, aged 15-49 years. The case group consisted of women with the functional ovarian cysts (n=132) and the control group included the healthy individuals (n=132). The Pregnant women, females with a prior history of infertility, and the menopausal women were excluded in the study. A demographic questionnaire was used for collecting the patients’ demographic information, medical and midwifery history. The dietary protein intake was measured using a Food Frequency Questionnaire. For the data analysis, t-test, χ2, and regression analysis were performed, using SPSS version 16. Results: The mean levels of protein intake were 104.62±93.63 and 86.20±41.52 g in the case and control groups, respectively. A significant relationship was observed between the dietary protein intake and the functional ovarian cysts (P=0.04). Conclusion: To considering the direct relationship between high protein consumption and the functional ovarian cysts, appropriate educational programs are needed.

Laparoscopy versus laparotomy in the treatment of benign ovarian cyst

Objective: To compare laparoscopy with laparotomy in the treatment of benign ovarian cyst in women under 40 years of age. Design: Experimental. Place and duration of study: The study was conducted over a period of one and half year from June 2003 to Nov 2004 in Obstetrics &amp; Gynaecology Department, Unit-III, Lady Willingdon Hospital, Lahore. Subjects &amp; Methods: The sixty consecutive patients of benign ovarian cysts who required surgical treatment underwent either Laparoscopy(group I). or laparotomy (group II). The laparoscopic fenestration, aspiration and cystectomies were performed in group I (30 patients). However, ovarian cystectomies, salpingo-oophorectomy and oophorectomy were performed by laparotomy in group II (30 patients). Results: The comparison was done with respect to duration of surgery intra-operative blood loss, time of mobilization, duration of hospital stay and amount of analgesia used, time to return to normal activity. The amount of analgesics used, time of mobilization, duration of hosp ital stay and time to return to normal activity was less (P&lt;0.05) in Laparoscopy as compared to Laparotomy. There was statistically no significant difference in the duration of surgery, blood loss and post operative morbidity (P&gt;0.05). Conclusion: With appropriate preoperative evaluation, laparoscopic surgery is safe and effective in treating benign ovarian cyst in women under 40 years of age where the risk of malignancy is low. It is associated with early mobilization, less use of analgesia, shorter hospital stay.

Ovarian cysts: presence and persistence with use of a 13.5 mg levonorgestrel-releasing intrauterine system

ObjectiveThe aim of this study was to assess the presence of ovarian cysts in women using a new low-dose levonorgestrel-releasing intrauterine contraceptive system (LNG-IUS 13.5mg [total content]). Study designA Phase 3 study assessed LNG-IUS 13.5mg use in healthy women with regular menstrual cycles who requested contraception. Transvaginal ultrasonography was performed at screening, baseline, and 3, 6, 9, 12, 18, 24, 30, and 36months after placement. ResultsA total of 1432 women, mean age 27.2±4.8years, were studied. A total of 10,446 transvaginal ultrasound examinations were performed over 3years. Ovarian cysts were present in 1.6, 1.1, 2.3, 2.1, 2.4, 2.0, 2.1, 2.2, 1.9, and 2.1% of participants at screening, baseline, and Months 3, 6, 9, 12, 18, 24, 30, and 36, respectively. One hundred first-time ovarian cysts were identified from baseline through Month 9. The size distribution through Month 12 was ≤30mm (13%), >30 to ≤50mm (74%), >50 to ≤80mm (11%), and >80mm (0%). The overall persistence of ovarian cysts from one examination to the next in Year 1 was 12% (11/90 with follow-up). Cyst persistence was 36% from baseline to 3months, 13% from 3 to 6 months, 10% from 6 to 9 months, and 0% from 9 to 12 months. The likelihood of cyst persistence increased for cysts >50mm (36%) as compared to those ≤50mm (8%). ConclusionOvarian cysts were present in 1.6% of women at screening, 2.0 to 2.4% of LNG-IUS 13.5mg users during Year 1, and 1.9 to 2.1% during Years 2 and 3. The majority were >30 to ≤50mm in size. The small and diminishing number of persistent cysts—decreasing to 0% from 9 to 12 months—suggests that they were functional in nature. ImplicationsTransvaginal ultrasound follow-up of women during a 3-year clinical trial of LNG-IUS 13.5mg showed that ovarian cysts were present in 1.6% of participants at screening and 1.1–2.4% at each subsequent visit. Eighty-eight percent were ≤5cm, with none >8cm. No ovarian cysts persisted beyond Month 9, suggesting a functional etiology.

Twisted ovarian cyst in women with uterine anomalies – a case report.

Twisted ovarian cyst in women with uterine anomalies – a case report.

A young women with a large ovarian mass

A dermoid ovarian cyst is the commonest ovarian cystin women of reproductive age. We report a young woman who presented with a large abdominal mass. We discuss the differential diagnosis and surgical management of a large complex ovarian mass in a young woman.

Computed Tomography Appearance of Ovarian Cysts With Hyperenhancing Rim During the Menstrual Cycle in Women of Different Ages

To determine the frequency and computed tomography (CT) characteristics of ovarian cysts in women of different ages. Five hundred ninety-five contrast-enhanced CT studies performed in 430 females aged 10 or older between January 2001 and December 2006 were retrospectively reviewed. For each study, we recorded the presence of ovarian cysts larger than 5 mm in diameter, with or without a hyperenhancing rim (HR, NR). The frequencies and CT characteristics of HR and NR cysts were analyzed according to phase of the menstrual cycle and patient age. Independent-sample t test, analysis of variance, chi test, and Fisher exact test were used to compare continuous data and categorical data between groups. Ovarian cysts were more frequently seen on CT studies of women between the ages of 20 and 49 years than on those of women older than 50 years (P = 0.004). Cysts with no HR were seen in every age group; HR cysts were present only in patients younger than 50 years. Cysts with HR were seen more frequently during periovulatory and secretory phase than during menses and proliferative phase (P = 0.003). Cysts with HR had a mean volume of 1.8 cm; NR cysts had a mean volume of 5.3 cm (P = 0.004). Cysts with HR had a thicker wall (3.4 mm vs imperceptible) and a higher attenuation value (31.4 vs 14.8 Hounsfield units) and were more commonly associated with pelvic fluid (P = 0.005) than were NR cysts. Cysts with HR, previously proven to represent corpus luteal cysts, can be readily seen on contrast-enhanced CT studies in women of reproductive age. Familiarity of the varied CT appearance of these cysts is essential, lest they be misinterpreted as pathological entities.