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

García‐Tejedor, Amparo; Castellarnau, Marta; Burdı́o, Fernando; Fernández, Eulalia; Martí, Dolores; María, José; Ponce, Jordi

doi:10.7863/ultra.34.6.985

Cited by 9 publications

(7 citation statements)

References 26 publications

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“…17 García-Tejedor et al showed a 39% (34/87) recurrence rate of SOC in their follow-up examinations. 4 Similar results, although in a rather small study group, were obtained by Nikolaou et al, who observed a 35.2% (n = 12) recurrence rate after transvaginal ultrasound-guided aspiration of serous ovarian cysts. 8 In our study, the general recurrence rate was considerably lower: 20.2% (17/84); it was 27% in the premenopausal group and 15.2% in the postmenopausal group.…”

Section: Discussionsupporting

confidence: 77%

“…Up to 24% of ovarian tumors in premenopausal women and up to 60% in postmenopausal women are malignant. 4 Second, aspiration is thought to be ineffective due to continued fluid production by the cyst wall. In the literature, the incidence rates of cyst recurrence after aspiration range 11-75%, but in some studies endometrial and dermoid cysts were included.…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionsupporting

confidence: 77%

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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“…In prior studies, sensitivity rates of ovarian aspiration and needle biopsy varied widely from 25% to 100% [56789101112131415161718192021222324252627]. We reported sensitivity of ovarian needle biopsy to be 75%, which is within the range of prior studies.…”

Section: Discussionsupporting

confidence: 68%

Ovarian needle aspiration in the diagnosis and management of ovarian masses

et al. 2017

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ObjectiveOvarian needle aspiration and biopsy (ONAB) may be employed for pretreatment diagnosis of ovarian malignancies or intraoperatively to facilitate removal of ovarian masses. However, there is reluctance to utilize this procedure due to potential cyst rupture or seeding of malignant cells. The objective of this study was to examine the efficacy of ONAB over a 13-year period at our institution.MethodsBetween 2000 and 2013, all ONAB specimens were identified from the Queen's Medical Center Pathology Department database. All cytologic specimens were reviewed and correlated with histopathologic findings. A retrospective chart review was conducted to retrieve data on clinical course and treatment.ResultsThis study identified 144 cases of ovarian masses sampled by aspiration or needle biopsy between 2000 and 2013. Ninety-two (64%) cases had corresponding histopathology, 84 (91%) of which were obtained concomitantly. On histology, 12 (13%) cases were malignant and 80 (87%) benign. Three false negative cases were noted; 2 serous borderline tumors and 1 mucinous cystadenocarcinoma. These were sampling errors; no diagnostic tumor cells were present in the aspirates. Sensitivity and specificity of ONAB in the detection of malignancy were 75% and 100%, respectively. The positive and negative predictive values were 100% and 96%, respectively.ConclusionONAB represents a valuable tool in the diagnosis of malignancy and treatment of ovarian masses. In our study, it was highly specific, with excellent positive and negative predictive value.

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“…Overall, these findings suggested that the auxiliary device is a safe, stable, and effective alternative treatment option for pelvic cystic masses. García-Tejedor et al (10) reported that the major and minor complications of interventional surgery included severe inflammatory diseases and hemoperitoneum. Using the auxiliary device can effectively reduce the incidences of such complications and shorten the operation time.…”

Section: Interdisciplinary Integration Has Solved Many Problemsmentioning

confidence: 99%

“…These problems have limited the clinical application of ultrasound-guided aspiration in the treatment of pelvic cystic masses. In recent decades, minimally invasive therapy in pelvic diseases treatment has been regarded as an efficient diagnostic and alternative therapeutic procedure (10,11). However, to the best of our knowledge, few studies have examined the use of auxiliary devices for ultrasoundguided aspiration in the treatment of pelvic cystic masses.…”

Section: Introductionmentioning

confidence: 99%

Development of an auxiliary device for ultrasound-guided aspiration of pelvic cystic masses: a simulation study

Yan

Liang

Fang

et al. 2021

Quant Imaging Med Surg

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Background: Pelvic cystic masses are a common gynecological condition. Ultrasound-guided aspiration is a minimally invasive surgical technique for the treatment of pelvic cystic masses. However, further developments to improve its stability and safety are wanting. This study evaluated the application and safety of a self-developed auxiliary device for pelvic cystic masses' ultrasound-guided aspiration through phantom testing.Methods: Saline and coupling agents were used at different viscosity levels to simulate simple cysts, medium viscosity cysts (such as pelvic effusions), and ovarian, endometrial cysts. An auxiliary device consisting of a three-way valve, a negative pressure aspirator, and a pressurized infusion bag was developed.Phantom testing was performed to evaluate the application of this device in ultrasound-guided aspiration of pelvic cystic masses. The indicators, including the time of aspiration, time of injection, and the incidence of complications, were compared to cases in which ultrasound-guided aspiration was performed manually with a syringe. Results:The incidence of complications in the auxiliary device group was significantly lower compared to the manual operation group (P<0.05). The ovarian cystic aspiration times and operation times were significantly shorter in the auxiliary device group compared to the traditional manual puncture group (P<0.05).Conclusions: Ultrasound-guided aspiration is repeatable and minimally invasive for the treatment of pelvic cystic masses. Using the auxiliary device designed in this report resulted in shorter operation times, definite needle fixation, and fewer complications, which may allow for a more stable and safer aspiration procedure for the treatment of pelvic cystic masses.

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

Cited by 9 publications

References 26 publications

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

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

Ovarian needle aspiration in the diagnosis and management of ovarian masses

Development of an auxiliary device for ultrasound-guided aspiration of pelvic cystic masses: a simulation study

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