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. 2010 Dec;115(8):1330-9.
doi: 10.1007/s11547-010-0586-0. Epub 2010 Sep 17.

Ultrasound-guided aspiration and ethanol sclerotherapy for treating endometrial cysts

[Article in English, Italian]
G Gatta  1 , V Parlato, G Di Grezia, A Porto, S Cappabianca, R Grassi, A Rotondo
Affiliations

Ultrasound-guided aspiration and ethanol sclerotherapy for treating endometrial cysts

[Article in English, Italian]
G Gatta et al. Radiol Med. 2010 Dec.

Abstract

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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