For endometriotic cyst all are true EXCEPT?: (A) Homogeneous Ground glass appearance, (B) Laparoscopy is indicated, (C) CA 125 is a specific test, (D) Associated with dysmenorrhoea
Answer is C. Endometrial cyst/ Chocolate cyst Represent the most impoant manifestation of endometriosis Epithelium is columnar. Beneath the epithelium, a zone of tissue containing large cells with brown cytoplasm, polyhedral in shape and resembling lutein cells is seen. Homogeneous Ground glass on TVS Investigation: Laproscopy diagnostic and therapeutic Levels of CA125 may be increased (not specific test: also increases in ovarian malignancies, tuberculosis, liver disease etc) CA 125 is a good follow up tool after treatment.