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Cystectomy is a medical term for surgical removal of all or part of the urinary bladder. It may also be rarely used to refer to the removal of a cyst. [1] The most common condition warranting removal of the urinary bladder is bladder cancer. [2] Two main types of cystectomies can be performed.
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The person performing the surgery will squeeze out the contents of the cyst, then use blunt-headed scissors or another instrument to hold the incision wide open while using fingers or forceps to try to remove the cyst wall intact. If the cyst wall can be removed in one piece, the "cure rate" is 100%.
If the cyst is large, is multilocular, or has complex internal features, such as papillary (bumpy) projections into the cyst or solid areas inside the cyst, it is more likely to be cancerous. [ 13 ] A widely recognised method of estimating the risk of malignant ovarian cancer based on initial workup is the risk of malignancy index (RMI).
Endometrioma (also called chocolate cyst) is the presence of tissue similar to, but distinct from, the endometrium in and sometimes on the ovary. It is the most common form of endometriosis . [ 1 ] Endometrioma is found in 17–44% patients with endometriosis.
Large cysts can lead to torsion of the adnexa inflicting acute pain. [3] [4] Prior to surgery, PTCs are usually seen on ultrasonography. However, because of the proximity of the ovary that may display follicle cysts, it may be a challenge to identify a cyst as paratubal or paraovarian. [5]
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The punch biopsy is used to enter the cyst cavity. The contents of the cyst are emptied, leaving an empty sac. As the pilar cyst wall is the thickest and most durable of the many varieties of cysts, it can be grabbed with forceps and pulled out of the small incision. This method is best performed on cysts larger than a pea that have formed a ...
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