Ultrasound guided aspiration in pathological adnexal processes.
OBJECTIVE
To establish the efficiency of ultrasonographically guided transvaginal adnexal cyst aspiration as a treatment and diagnostic method.


METHODS
In 72 patients with an adnexal cystic mass, transvaginal ultrasound guided cyst aspiration was performed. Before the procedure, presence of primary malignant disease was excluded by gynecologic and ultrasound examination. Cyst content was sent for cytological analysis. Cytological findings were staged according to Papanicolaou. Patients were re-examined 3 and 6 months after the ultrasound intervention. Cysts measuring 3 cm or more in diameter were considered to be recurrence of the disease.


RESULTS
Recurrence of the disease appeared in 32 cases (44%) and was more common with larger cysts. Malignant cells were found in one case (1.5%), a recurrent ovarian cancer, previously treated by surgery and chemotherapy.


CONCLUSIONS
In our study, ultrasound guided aspiration of adnexal cysts was not shown to be an efficient method of treatment because of the high recurrence rate. It may be used in selected patients at high anaesthesiologic risk for surgery as a therapeutic or a diagnostic procedure.
Dr. Adolf Drolc Health Center of Maribor, Dispansery for Women, Vosnjakova ul. 2, 2000 Maribor, Slovenia. nelipetrovic@hotmail.com
Nela
N
Petrovic
Darja
D
Arko
Vida Gavrić
VG
Lovrec
Iztok
I
Takac
D000291:Adnexal Diseases / Q000000981:diagnostic imaging* / Q000473:pathology / Q000628:therapy*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003560:Cysts / Q000000981:diagnostic imaging* / Q000628:therapy*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D008875:Middle Aged; D010048:Ovarian Cysts / Q000000981:diagnostic imaging / Q000628:therapy; D011446:Prospective Studies; D013396:Suction / Q000379:methods*; D014463:Ultrasonography / Q000379:methods*; D018084:Ultrasonography, Interventional / Q000379:methods