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Ultrasound-guided aspiration and ethanol sclerotherapy for treating endometrial cysts

Aspirazione e alcolizzazione ecoguidata nel trattamento delle cisti endometriosiche

  • Uro-Genital Radiology / Radiologia Uro-Genitale
  • Published:
La radiologia medica Aims and scope Submit manuscript

Abstract

Purpose

The authors sought to evaluate the effectiveness of ultrasound (US)-guided aspiration and ethanol sclerotherapy in treating endometrial cysts and adopt this procedure as an alternative to surgery.

Materials and methods

Fifty consecutive patients with an average age of 25.2 years [standard deviation (SD) 6.5; range 16–40 years) and US diagnosis of endometrial cyst who were pregnant or presenting with high anaesthesia risk, adhesions or who refused surgery underwent US-guided aspiration of a total of 54 endometrial cysts (40 with transabdominal approach and the remaining 14 with transvaginal approach) and ethanol sclerotherapy.

Results

The procedure was successful in all patients. Follow-up imaging was carried out at 12 h, 24 h, 15 days, 3 months, 6 months and 12 months. After 12 months, four patients (8%) showed recurrence, three of whom opted for a second session of US-guided aspiration and ethanol sclerotherapy.

Conclusions

US-guided aspiration and sclerotherapy with 95% ethanol provides a valid alternative to surgery in treating endometrial cysts.

Riassunto

Obiettivo

Scopo del nostro lavoro è stato valutare l’efficacia dell’aspirazione e dell’alcolizzazione ecoguidata delle cisti endometriosiche dell’ovaio e proporre questa procedura quale alternativa all’intervento chirurgico.

Materiali e metodi

Cinquanta pazienti consecutivi di età media di 25,2 anni (deviazione standard [DS] 6,5; range 16–40 anni) con diagnosi ecografica di cisti endometriosica, in caso di gravidanza, aderenze, elevato rischio anestesiologico e rifiuto dell’intervento chirurgico, sono state sottoposte ad aspirazione ed alcolizzazione ecoguidata di 54 cisti endometriosiche (40 con approccio transaddominale; 14 con approccio transvaginale).

Risultati

La procedura è stata effettuata con successo in tutte le pazienti. Sono stati eseguti controlli ecografici a 12, 24 ore, 15 giorni, 3, 6, 12 mesi. Dopo 12 mesi, 4 pazienti (8%) hanno presentato recidiva di patologia; 3 si sono sottoposte nuovamente ad aspirazione ed alcolizzazione, 1 ad intervento chirurgico.

Conclusioni

L’aspirazione e l’alcolizzazione con etanolo 95° delle cisti endometriosiche rappresenta una valida alternativa all’intervento chirurgico.

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Authors and Affiliations

  1. Dipartimento di Internistica Clinica e Sperimentale “Magrassi-Lanzara”, Sezione di Radiodiagnostica e Radioterapia, Seconda Università degli Studi di Napoli, P.zza Miraglia 2, 80138, Napoli, Italy

    G. Gatta, V. Parlato, G. Di Grezia, A. Porto, S. Cappabianca, R. Grassi & A. Rotondo

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  1. G. Gatta
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  2. V. Parlato
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  3. G. Di Grezia
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  4. A. Porto
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  5. S. Cappabianca
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  6. R. Grassi
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  7. A. Rotondo
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Correspondence to G. Di Grezia.

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Gatta, G., Parlato, V., Di Grezia, G. et al. Ultrasound-guided aspiration and ethanol sclerotherapy for treating endometrial cysts. Radiol med 115, 1330–1339 (2010). https://doi.org/10.1007/s11547-010-0586-0

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  • DOI: https://doi.org/10.1007/s11547-010-0586-0

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