Conservative management of post-operative peritoneal cysts associated with endometriosis.
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.


CONCLUSIONS
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.
Takeuchi
K
K
Department of Obstetrics and Gynecology, School of Medicine, Kobe University, Japan. kyousuke@kobe-u.ac.jp
Kitazawa
S
S
Kitagaki
S
S
Maruo
T
T
D000328:Adult; D001707:Biopsy, Needle; D003131:Combined Modality Therapy; D003560:Cysts / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D018572:Disease-Free Survival; D004322:Drainage; D004715:Endometriosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D005260:Female; D007987:Gonadotropin-Releasing Hormone / Q000627:therapeutic use*; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D010532:Peritoneal Diseases / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D011183:Postoperative Complications / Q000628:therapy; D011379:Prognosis; D016896:Treatment Outcome
D007987:Gonadotropin-Releasing Hormone