Conservative management of post‐operative peritoneal cysts associated with endometriosis

K Takeuchi, Kyousuke Takeuchi, S Kitazawa, Sohei Kitazawa, S Kitagaki, T Maruo, Takeshi Maruo
International Journal of Gynecology & Obstetrics · 1998 · vol. 60(2) , pp. 151–154 · doi:10.1016/s0020-7292(97)00253-1 · PMID:9509953 · W2060850060
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Abstract

OBJECTIVE: To describe the usefulness of fine-needle aspiration cytology and drainage, followed by long-acting GnRH-agonist therapy in the management of post-operative peritoneal cysts with endometriosis. METHODS: In six women who were diagnosed as having post-operative peritoneal cysts with endometriosis, fine-needle aspiration cytology and drainage was performed. Thereafter, four patients were treated with long-acting GnRH-agonists for 6 months. Two patients refused the treatment. RESULTS: In all patients fine-needle aspiration yielded specimens which consisted of a population of mesothelial cells. The mean follow-up time was 4 years (range 3.5-5). The four patients treated with long-acting GnRH-agonists show no evidence of recurrence. In two patients who had no additional treatment, the recurrence of the cyst was noted 2 months and 5 months after the drainage. CONCLUSION: Combination of fine-needle aspiration cytology and drainage and subsequent long-acting GnRH-agonist therapy can be a useful conservative management of post-operative peritoneal cysts associated with endometriosis.

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endometriosis

MeSH descriptors

Cysts Endometriosis Gonadotropin-Releasing Hormone Gynecologic Surgical Procedures Peritoneal Diseases Adult Biopsy, Needle Combined Modality Therapy Cysts Cysts Cysts Disease-Free Survival Drainage Endometriosis Endometriosis Endometriosis Female Gonadotropin-Releasing Hormone Gynecologic Surgical Procedures Humans

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