Aspiration and tetracycline sclerotherapy for management of simple ovarian cysts.
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.
AbdRabbo
S
S
Department of Obstetrics and Gynecology, Alexandria University, Egypt.
Atta
A
A
D000328:Adult; D005260:Female; D006801:Humans; D008875:Middle Aged; D010048:Ovarian Cysts / Q000628:therapy*; D012597:Sclerosing Solutions / Q000627:therapeutic use*; D015911:Sclerotherapy; D013396:Suction; D013754:Tetracyclines / Q000627:therapeutic use*; D016896:Treatment Outcome
D012597:Sclerosing Solutions; D013754:Tetracyclines