Summary: The management of simple ovarian cysts by laparoscopically or sono‐graphically‐directed aspiration is widely practised. A study was undertaken to correlate the accuracy of cyst aspirate cytology with histology in 29 consecutive cystic pelvic masses managed in a gynaecological oncology unit. The results of a literature review are then presented to determine the role for aspiration of simple cysts. Aspiration cytology was found to correlate poorly with histology. On the basis of these results and literature evidence, the case against aspiration of ovarian cysts, as either a diagnostic or a therapeutic modality, is presented.
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Nicklin et al. (1994) studied this question.
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