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Published on: July 16, 2020
Ultrasound-guided aspiration and ethanol sclerotherapy for treating endometrial cysts
G Gatta1, V Parlato, G Di Grezia
1Dipartimento di Internistica Clinica e Sperimentale Magrassi-Lanzara, Sezione di Radiodiagnostica e Radioterapia, Seconda Università degli Studi di Napoli, Piazza Miraglia 2, Naples, Italy.
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.
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