Corpus luteum cyst is a type of ovarian cyst, which may rupture about the time of menstruation, and take up to 3 mo to disappear entirely.
Patient information
I'm guessing guessing a corpus luteum cyst is a cyst in the corpus luteum. What's that?
Cyst is just an abnormal cavity containing fluid. Corpus luteum is a structure inside a lady's ovaries, that makes progesterone and estradiol. The corpus luteum is made during the luteal phase of the menstrual cycle, following ovulation.
Sx
Corpus luteum cysts may contain blood and other fluids
The physical shape of a corpus luteum cyst may appear as an enlargement of the ovary itself, rather than a distinct mass-like growth on the surface of the ovary
Can grow to almost 10cm in diameter
It has the potential to bleed into itself, or twist the ovary, causing pelvic or abdominal pain
If it fills with blood, the cyst may rupture, causing internal bleeding and sharp pain. This pain disappears within a few days of the rupture
Pathophysiology
It occurs after an egg has been released from a follicle. The follicle then becomes a secretory gland, called the corpus luteum
If pregnancy doesn't occur, the corpus luteum usually breaks down and disappears
It may however, fill with fluid or blood, causing the corpus luteum to expand into a cyst, and stay in the ovary
Although it is cystic, it doesn't arise from benign corpus luteum cysts
Prognosis
In women of reproductive age, cysts <5cm are common, and almost always physiological, rather than a cancer or other disease condition
In postmenopausal women, the threshold is <1cm
Rarely, it can cause the ovary to twist around the ovarian ligament and can cut off the blood flow to the ovary, called ovarian torsion, causing pain
Epidemiology
It rarely occurs at age 50+, because eggs are no longer being produced in menopausal women
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