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Diagn Cytopathol. 1991;7(1):48-52.

Cellular follicular cyst of the ovary: fluid cytology mimicking malignancy.

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  • 1Department of Pathology, Hennepin County Medical Center, Minneapolis, MN 55415.


We report three ovarian cysts studied by aspiration cytology. The fluids obtained were highly cellular, with numerous groups of atypical cells featuring a high nuclear-cytoplasmic ratio, nuclear hyperchromasia, and prominent nucleoli. In each case, these features were considered evidence of a low-grade malignant neoplasm. All three patients underwent oophorectomy, which revealed benign follicular cysts. Possible means of resolving the diagnostic dilemma posed by these cellular follicular cysts are discussed.

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