Patient's question:
Ovarian cyst, I'd like to ask when is the pathological examination? Is it before or during surgery? During the surgery, when the cyst was removed, a pathological examination was done. Is this pathological examination?Doctor's answer:
Cytological examination, as a culdocentesis, involves aspirating ascites for cytological analysis. During laparoscopic examination or laparotomy for cyst, fluid can be aspirated from the pouch of Douglas for examination, which has a high accuracy rate for diagnosing malignant tumors. Laparoscopic examination allows direct visualization of the gross appearance of the mass and enables observation of the entire pelvic and abdominal cavity. Multiple biopsies can be performed at suspicious sites, and ascites can be aspirated for cytological analysis to confirm the diagnosis and postoperative monitoring. However, it is contraindicated for patients with large masses or adhesive masses, and it cannot visualize retroperitoneal lymph nodes, which is a drawback.