Interventional ultrasound in diagnosis and treatment of ovarian cysts

In 46 patients, age 17-46 years, 48 simple ovarian cysts with the median diameter of 4-14 cm were punctured using ultrasonic quidance. The aspirate of cysts was examined cytologically. The punctured cysts were observed by ultrasonic examinations performed one month and three months after the punctures. The recurred cysts (n = 16) were punctured again. If the cyst recurred again, the patient was operated. The experience up to now indicates that the results of the puncture treatment are good. Out of 46 patients of the study, 14 (30%) had to be operated, while 32 (70%) did avoid from laparotomy due to the puncture. In cytological examinations no malignant cells were established. Besides one haematoma, no complications appeared.