Aspiration and tetracycline sclerotherapy for management of simple ovarian cysts

AbdRabbo S, S AbdRabbo, Salah A. AbdRabbo, A Atta, A. I. Atta, Atta A
International Journal of Gynecology & Obstetrics · 1995 · vol. 50(2) , pp. 171–174 · doi:10.1016/0020-7292(95)02443-g · PMID:7589753 · W2073486296
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Ultrasound-guided aspiration and tetracycline sclerotherapy effectively treated simple ovarian cysts, with only one case requiring subsequent surgery and no reported recurrences.

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Abstract

OBJECTIVE: To evaluate the procedure of aspiration and tetracycline sclerotherapy in the management of simple ovarian cysts. METHODS: Twenty-five cases of simple ovarian cysts were subjected to cyst fluid aspiration and 5% tetracycline injection under ultrasound guidance. Cytological examination of the aspirated fluid was carried out in 24 cases and the patients were followed for 6-36 months. RESULTS: Cytology revealed a cellular sediment in 18 cases (simple cysts), follicular cells in four cases (follicular cysts), and blood and hemosiderin-laden macrophages in two cases (endometriosis); subsequent surgery was required in only one case (endometriosis). CONCLUSIONS: The procedure of aspiration and tetracycline sclerotherapy was easy, safe and acceptable, with no recurrences. It appears to be a valid alternative to cyst aspiration in the management of simple ovarian cysts.

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Condition tags

endometriosis

MeSH descriptors

Ovarian Cysts Sclerosing Solutions Sclerotherapy Sclerotherapy Suction Suction Tetracyclines Adult Adult Female Female Humans Humans Middle Aged Middle Aged Ovarian Cysts Ovarian Cysts Sclerosing Solutions Sclerosing Solutions Tetracyclines

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