Ultrasound-guided fine needle aspiration of ovarian cysts during pregnancy

Guariglia, Lorenzo; Conte, Massimo; are, P. A. Mang’; Rosati, Paolo

doi:10.1016/s0301-2115(98)00164-x

Cited by 36 publications

(21 citation statements)

References 21 publications

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“…Several authors advocate the ultrasound-guided aspiration of ovarian cysts, provided they strictly fulfill the criteria of benign cysts, including unilocular simple cyst, absence of papillary structures and/or the absence of any indicators for solid masses [15][16][17]. Recently, Whitecar et al demonstrated that adnexal masses considered to be benign on ultrasonographic imaging can be of low malignant potential after histopathological examination [1].…”

Section: Surgery For Adnexal Massesmentioning

confidence: 99%

“…Recently, Whitecar et al demonstrated that adnexal masses considered to be benign on ultrasonographic imaging can be of low malignant potential after histopathological examination [1]. Recurrence of ovarian cysts following ultrasound-guided aspiration may occur in about one third of patients [15] and cytological evaluation of the aspirated fluid is not sufficient for differentiation between benign and malignant processes (maximal sensitivity 71%) [18]. Moreover, one has to keep in mind that perforation-induced spillage of tumor cells throughout the abdominal cavity has a pronounced detrimental effect on prognosis [19,20].…”

Section: Surgery For Adnexal Massesmentioning

confidence: 99%

“…Treatment during the second half of pregnancy with either cisplatin or several other cytotoxic compounds appeared to be non-teratogenic. Recently, Cardonick et al followed 22 women treated with chemotherapy for diagnosis of ovarian cancer, Hodgkin's lymphoma, breast cancer or leukemia during pregnancy (data presented at the 22nd Annual Meeting of the Society for Maternal-Fetal Medicine, January [14][15][16][17][18][19]2002 in New Orleans [47] and summarized by Reidenbach [48]). These women received chemotherapy during the third trimester of pregnancy.…”

Section: Chemotherapy During Pregnancymentioning

confidence: 99%

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Adnexal Masses in Pregnancy

et al. 2003

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With the widespread use of routine abdominal ultrasound examination during pregnancy, adnexal masses are observed with increasing frequency. Most patients are clinically asymptomatic at the time of presentation, and most of the adnexal masses detected during early pregnancy disappear during the first 16 weeks of pregnancy. Ovarian tumors are estimated to occur in about 1 in 1,000 pregnancies and of these 3% are malignant. Here we present an overview about frequency, diagnostic procedures and pathological characteristics of these ovarian tumors. Moreover, current modalities for treatment during pregnancy are summarized. Surgical treatment of the adnexal masses has to be performed with adequate staging and debulking equal to the treatment of non-pregnant women. However, whereas during organogenesis abortion has to be considered prior to chemotherapy, later in pregnancy surgical debulking as complete as possible, followed by taxol-platinum chemotherapy is indicated. If the fetus is not viable at the time of primary surgery, neoadjuvant chemotherapy and complementation of surgery after delivery of the baby should be performed. It should be stressed that chemotherapy for ovarian cancer applied during pregnancy appears to be safe. However, no studies have evaluated the long-term consequences for children exposed to intra-uterine chemotherapy. Aspiration of cysts should be avoided, as the correlation between the histological evaluation of an ovarian malignancy and the cytological evaluation of aspirates is poor. Moreover, spillage of malignant cysts is hazardous for the patient.

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Section: Surgery For Adnexal Massesmentioning

confidence: 99%

Section: Surgery For Adnexal Massesmentioning

confidence: 99%

Section: Chemotherapy During Pregnancymentioning

confidence: 99%

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Adnexal Masses in Pregnancy

et al. 2003

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“…1,15,18 In spite of skepticism and initial resistance, the aspiration of adnexal cysts with sonographic benign criteria is now employed not only as a diagnostic tool 2,16,17,[22][23][24]31,32 but also as treatment for nonneoplastic cysts. 5,7,10,12,14,20,21,30 This rapid and well-tolerated procedure has been used for aspiration of cysts in pregnant women 11,14 and prenatally, 3,27 but, like any other invasive techniques, it is not absolutely risk free. 9,16,19 Consequently, its therapeutic indications 34 and diagnostic value are subject to ongoing debate, especially because of the low sensitivity 4,6,24 and occasional false positive result, 25,28,29 even when carried out by expert cytopathologists.…”

mentioning

confidence: 99%

Aspiration Cytology of 147 Adnexal Cysts with Histologic Correlation

Martínez-Onsurbe

Villaespesa²,

Sanz‐Anquela³

et al. 2001

Acta Cytologica

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“…First, some patients with primary cystic ovarian lesions are poor surgical candidates or have a primary neoplasm outside the ovary. In these patients, an attempt to obtain a diagnosis percutaneously is reasonable because a positive result will direct management (17,18). However, because the management is quite complex, this approach should be undertaken only when one is working with a gynecologic oncologist.…”

Section: Aspiration and Biopsy Of Ovarian And Adnexal Lesionsmentioning

confidence: 99%

Transvaginal Interventional Procedures: Aspiration, Biopsy, and Catheter Drainage

O’Neill¹,

Rafferty²,

Lee³

et al. 2001

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Transvaginal ultrasonographically (US) guided procedures are simple and safe and often represent the only means of access to pelvic disease. Aspiration of cystic pelvic masses and core biopsy of solid pelvic masses can be easily performed by using the transvaginal route, an endoluminal US transducer, and a needle guide. Because of concerns about false-negative diagnosis and potential tumor seeding with biopsy of primary ovarian cystic lesions, the indications for transvaginal aspiration and biopsy of ovarian and adnexal lesions are predominantly therapeutic. Similarly, using an endoluminal probe with modification of the guide, one can also perform safe and effective trocar catheter drainage of pelvic abscesses via the transvaginal route. The transvaginal route is ideally suited to pelvic abscess drainage because of the proximity of the vaginal fornices to most pelvic fluid collections. The transvaginal route has the disadvantage of being semisterile; because of the risk of superinfecting previously noninfected pelvic pathologic conditions, the transvaginal approach should be used only for solid lesions or cystic lesions that can be completely aspirated. Familiarity with the transvaginal route of access is crucial for adequate treatment of many gynecologic and nongynecologic pelvic pathologic conditions.

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Ultrasound-guided fine needle aspiration of ovarian cysts during pregnancy

Cited by 36 publications

References 21 publications

Adnexal Masses in Pregnancy

Adnexal Masses in Pregnancy

Aspiration Cytology of 147 Adnexal Cysts with Histologic Correlation

Transvaginal Interventional Procedures: Aspiration, Biopsy, and Catheter Drainage

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