{"paper_id":"99d53cd0-f35a-4dd7-a219-b14e21b003f5","body_text":"Abstract\nPurpose\nThe 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.\nMaterials and methods\nFifty 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.\nResults\nThe 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.\nConclusions\nUS-guided aspiration and sclerotherapy with 95% ethanol provides a valid alternative to surgery in treating endometrial cysts.\nRiassunto\nObiettivo\nScopo del nostro lavoro è stato valutare l’efficacia dell’aspirazione e dell’alcolizzazione ecoguidata delle cisti endometriosiche dell’ovaio e proporre questa procedura quale alternativa all’intervento chirurgico.\nMateriali e metodi\nCinquanta pazienti consecutivi di età media di 25,2 anni (deviazione standard [DS] 6,5; range 16–40 anni) con diagnosi ecografica di cisti endometriosica, in caso di gravidanza, aderenze, elevato rischio anestesiologico e rifiuto dell’intervento chirurgico, sono state sottoposte ad aspirazione ed alcolizzazione ecoguidata di 54 cisti endometriosiche (40 con approccio transaddominale; 14 con approccio transvaginale).\nRisultati\nLa procedura è stata effettuata con successo in tutte le pazienti. Sono stati eseguti controlli ecografici a 12, 24 ore, 15 giorni, 3, 6, 12 mesi. Dopo 12 mesi, 4 pazienti (8%) hanno presentato recidiva di patologia; 3 si sono sottoposte nuovamente ad aspirazione ed alcolizzazione, 1 ad intervento chirurgico.\nConclusioni\nL’aspirazione e l’alcolizzazione con etanolo 95° delle cisti endometriosiche rappresenta una valida alternativa all’intervento chirurgico.\nSimilar content being viewed by others\nReferences/Bibliografia\nWoodward PJ, Sohaey R, Mezzetti TP (2001) Endometriosis: radiologicpathologic correlation. Radiographics 21:193–216\nArumgam K, Lim JM (1997) Menstrual characteristics associated with endometriosis. Br J Obstet Gynaecol 104:948–950\nSchenken RS (1999) Endometriosis. In: Scott JR, Di Saia PJ, Hammond CB, Spellacy WN (eds) Danforth’s obstetrics and gynecology. Lippincott Williams & Wilkins, Philadelphia, pp 669–676\nEskanazi B, Warner M (1997) Epidemiology of endometriosis. 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Int J Obstet 59:31–34\nNoma Y, Yoshida N (2001) Efficacy of ethanol sclerotherapy for ovarian endometriomas. Int J Gynaecol Obstet 72:35–39\nAuthor information\nAuthors and Affiliations\nCorresponding author\nRights and permissions\nAbout this article\nCite this article\nGatta, G., Parlato, V., Di Grezia, G. et al. Ultrasound-guided aspiration and ethanol sclerotherapy for treating endometrial cysts. Radiol med 115, 1330–1339 (2010). https://doi.org/10.1007/s11547-010-0586-0\nReceived:\nAccepted:\nPublished:\nIssue date:\nDOI: https://doi.org/10.1007/s11547-010-0586-0","source_license":"CC0","license_restricted":false}