Ultrasound guided aspiration in pathological adnexal processes

Petrović, Nela; Arko, Darja; Lovrec, Vida Gavrić; Takač, Iztok

doi:10.1016/s0301-2115(01)00557-7

Cited by 20 publications

(18 citation statements)

References 13 publications

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“…Patients were followed by US imaging every 6 months for the first 2 years and annually thereafter, for a maximum of 6 years. Recurrence was defined as the presence of an adnexal cyst on the same ovary with a largest diameter of 30 mm or greater at 6 months that was still persistent at the next 6 months (to rule out the formation of a new functional cyst) 3 in premenopausal women and a cyst larger than 10 mm in postmenopausal women. Recurrence was classified as full when the cysts were the same size or larger than the original cysts and as partial when they were smaller.…”

Section: Methodsmentioning

confidence: 99%

Ultrasound‐Guided Aspiration of Adnexal Cysts With a Low Risk of Malignancy

García‐Tejedor

Castellarnau

Burdı́o

et al. 2015

J of Ultrasound Medicine

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Objectives The purpose of this study was to establish the viability of ultrasound (US)‐guided adnexal cyst aspiration and identify a target group in which this procedure would be advisable. Methods A prospective cohort of 96 women with a low risk of malignant adnexal cysts was studied between 2002 and 2009, using recurrence after the procedure as the primary outcome measure. All procedures were performed on an outpatient basis without anesthesia. Patients were followed by US imaging at 6, 12, 24, 48, and 72 months. Potential risk factors for recurrence (menopausal status, previous hysterectomy, symptoms, US pattern, cyst diameter, and aspirated fluid volume and color) were analyzed by multivariate logistic regression. The association between recurrence and cyst size was calculated by Kaplan‐Meier curves. Results The median diameter of the cysts was 61 (range, 30–150) mm. Multivariate logistic regression analysis showed that an increased risk of recurrence was associated with a cyst diameter of greater than 70 mm (odds ratio, 4.2; 95% confidence interval, 1.2–14.1) and the presence of symptoms (odds ratio, 5.03; 95% confidence interval, 1.02–24.6). The median follow‐up time was 24 (range, 2–78) months. Surgery was avoided in 64 patients (73.6%). Full cyst recurrence was observed in 34 patients (39.0%). Conclusions Ultrasound‐guided aspiration is a viable alternative to surgery for treatment of adnexal cysts with a low risk of malignancy, especially when the cyst diameter is less than 70 mm.

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Section: Methodsmentioning

confidence: 99%

Ultrasound‐Guided Aspiration of Adnexal Cysts With a Low Risk of Malignancy

García‐Tejedor

Castellarnau

Burdı́o

et al. 2015

J of Ultrasound Medicine

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“…In the literature, the incidence rates of cyst recurrence after aspiration range 11-75%, but in some studies endometrial and dermoid cysts were included. 3,[5][6][7][8] Fortunately, a SOC is quite easy to diagnose with ultrasonography, ROMA and CA125 biomarkers. Moreover, malignant transformation is a rather rare process in SOC.…”

Section: Discussionmentioning

confidence: 99%

Retrospective analysis of transvaginal ultrasound-guided aspiration of simple ovarian cysts

Kostrzewa¹,

Zając²,

Wilczyński³

et al. 2019

Adv Clin Exp Med

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Background. The widespread availability of ultrasonography means that transvaginal ultrasonography has become a routine procedure during gynecological examinations, even in asymptomatic patients. Nowadays the imaging technology offered by ultrasonography and tumor biomarkers give us an opportunity to implement transvaginal ultrasound-guided aspiration as a less radical treatment of simple ovarian cysts (SOC). Objectives. The aim of the study was a retrospective evaluation of the diagnostic and therapeutic efficacy of transvaginal ultrasound-guided aspiration of SOC in postmenopausal and premenopausal patients. Material and methods. A total of 84 women, divided into a premenopausal group (38/84) and a postmenopausal group (46/84), underwent transvaginal ultrasound-guided aspiration of small SOC (40-80 mm in diameter). Simple cysts were defined ultrasonographically according to the International Ovarian Tumor Analysis (IOTA) guidelines as cysts with negative risk of ovarian malignancy algorithm (ROMA) scores and CA125 levels. Simple ovarian cyst-related data was obtained from medical documentation (diagnostic tests, medical reproductive and surgical history, and clinical status during SOC aspiration). Follow-up data was collected by means of a telephone interview and medical database. The survey included questions focused on cyst recurrence during the 24-month period following the aspiration of SOC. Results. We had 100% compatibility with ultrasound diagnosis and cytological examination of aspirated fluid. The cumulative rate of cyst recurrence among 84 patients was 20.2% (17/84). There was a higher percentage of cyst recurrence in the premenopausal group: 27% (10/38) vs 15.2% (7/46) in the postmenopausal group, but the difference was not statistically significant (hazard ratio (HR) = 1.89, 95% confidence interval (95% CI) = 0.72-4.97; p = 0. 19). Recurrent cysts were treated with laparoscopic cystectomy, adnexectomy or a second aspiration in accordance with individual indications. Conclusions. Ultrasound-guided aspiration of small (<80 mm) adnexal SOC is a diagnostic and alternative therapeutic procedure, which allows cytological examination and may reduce the need for surgery, which is especially beneficial for women of reproductive age.

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“…Pourtant, la surveillance des kystes ovariens simple est décrite et semble donner de bons résultats [2]. De la même façon, la ponction des kystes liquidiens uniloculaires (0,5 % de cette enquête ; 1/189) est une alternative reconnue mais grevée d'un fort taux de récidive et à réserver aux patientes à haut risque anesthésique [9]. Pour les kystes bénins, la coelioscopie est la voie d'abord majoritaire avec 88 % des cas.…”

Section: Discussionunclassified