Origin: -Serous cyst arises from the totipotent surface epithelium of the ovary. It is quite common and accounts for about 40%of ovarian tumors. It is bilateral in about 40 percent and chance of malignancy is about 40%.

PATHOLOGY: -The cysts are not so big as that of mucinous type. As the secretion is not abundant, there is more chance of proliferation of the lining epithelium to form papillary projection. As such, intracystic hemorrhage is more likely. Often, the papillary growth projects outwards perforating the cyst wall in about 15% cases.

Naked eye appearance: - The wall is smooth, shiny and greyish white. At times, there are exuberant papillary projection. It may be multilobulated on cut section. The content fluid is clear, rich in serum proteins—albumin and globulin.

Microscopic examination: - It is lined by a single layer of cubical epithelium.The papillary structures consist of broad dense fibrous stroma covered by single or multiple layers of columnar epithelium. There may be presence of ciliated, secretory and peg cells resembling tubal epithelium.

Psammoma Bodies: - These are tiny, spherical, laminated calcified structures which are most often

found in areas of cellular degeneration (15%). Its presence per se does not denote malignancy. It is not present in slow growing tumor.

Endometrioid tumors are rare (5%) and consists of epithelial cells resembling that endometrium.

Endometroid carcinomas (malignant variety) may occur.

Clear cell (mesonephroid) tumors contain cells with abundant glycogen and are called hobnail cells.

The nuclei of the cells protrude into the glandular lumen. They occur in women 40–70 years of age and are highly aggressive.


Serous Cyst Adenoma treatment with Homeopathic medicines is a holistic approach that manages the main cause behind the problem. Homoeopathic medicines are very safe to use among women of all age groups, and these treat serous Cyst Adenoma gently without any side effects.

The medicines that can be thought of are: -

  • Lachesis
  • Lycopodium
  • Colocynthis
  • Apis Mel
  • Pulsatilla
  • Sabina
  • Sepia etc.