title: Outpatient hysteroscopic emptying of a submucosal uterine cystic lesion.
abstract: BACKGROUND
  Uterine cystic neoformations are rare, but they should always be investigated to differentiate a benign from a malignant pathology. Transvaginal ultrasonography, MRI, and blood tests are the main investigations for diagnosing these lesions, avoiding over- or undertreatment. Hysteroscopy might represent a helpful tool both for its diagnostic and therapeutic properties.
  
  
  METHODS
  We report the hysteroscopic emptying of a cystic-degenerated leiomyoma with a 5-Fr flexible needle inserted through the operative channel of a 5-mm continuous-flow operative office hysteroscope in an outpatient setting.
  
  
  RESULTS
  The cystic lesion was successfully emptied. The hystopathological result of the target biopsies performed on the cystic wall was cystic degeneration of a leiomyoma.
  
  
  CONCLUSIONS
  This needle is normally used in gynecology to instill intrauterine local anesthesia under a hysteroscopic view. We adapted it to drain a fluid-filled lesion, identifying a further application of this instrument.
authors.affiliation: Department of Gynecology and Obstetrics, and Pathophysiology of Human Reproduction, University of Naples "Federico II," Italy. cdispie@tin.it
authors.forename: Attilio
authors.initials: A
authors.lastname: Di Spiezio Sardo
authors.forename: Maurizio
authors.initials: M
authors.lastname: Guida
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Bifulco
authors.forename: Sergio
authors.initials: S
authors.lastname: Frangini
authors.forename: Maddalena
authors.initials: M
authors.lastname: Borriello
authors.forename: Carmine
authors.initials: C
authors.lastname: Nappi
mesh_terms: D000328:Adult; D000556:Ambulatory Surgical Procedures; D003560:Cysts / Q000175:diagnosis / Q000601:surgery*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D020702:Hysteroscopes; D015907:Hysteroscopy; D007889:Leiomyoma / Q000175:diagnosis / Q000601:surgery*; D009339:Needles; D014594:Uterine Neoplasms / Q000175:diagnosis