title: Ultrasound-guided aspiration and ethanol sclerotherapy for treating endometrial cysts.
abstract: OBJECTIVE
  The authors sought to evaluate the effectiveness of ultrasound (US)-guided aspiration and ethanol sclerotherapy in treating endometrial cysts and adopt this procedure as an alternative to surgery.
  
  
  METHODS
  Fifty consecutive patients with an average age of 25.2 years [standard deviation (SD) 6.5; range 16-40 years) and US diagnosis of endometrial cyst who were pregnant or presenting with high anaesthesia risk, adhesions or who refused surgery underwent US-guided aspiration of a total of 54 endometrial cysts (40 with transabdominal approach and the remaining 14 with transvaginal approach) and ethanol sclerotherapy.
  
  
  RESULTS
  The procedure was successful in all patients. Follow-up imaging was carried out at 12 h, 24 h, 15 days, 3 months, 6 months and 12 months. After 12 months, four patients (8%) showed recurrence, three of whom opted for a second session of US-guided aspiration and ethanol sclerotherapy.
  
  
  CONCLUSIONS
  US-guided aspiration and sclerotherapy with 95% ethanol provides a valid alternative to surgery in treating endometrial cysts.
authors.affiliation: Dipartimento di Internistica Clinica e Sperimentale Magrassi-Lanzara, Sezione di Radiodiagnostica e Radioterapia, Seconda Università degli Studi di Napoli, Piazza Miraglia 2, Naples, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Gatta
authors.forename: V
authors.initials: V
authors.lastname: Parlato
authors.forename: G
authors.initials: G
authors.lastname: Di Grezia
authors.forename: A
authors.initials: A
authors.lastname: Porto
authors.forename: S
authors.initials: S
authors.lastname: Cappabianca
authors.forename: R
authors.initials: R
authors.lastname: Grassi
authors.forename: A
authors.initials: A
authors.lastname: Rotondo
mesh_terms: D000293:Adolescent; D000328:Adult; D003560:Cysts / Q000000981:diagnostic imaging / Q000628:therapy*; D004715:Endometriosis / Q000000981:diagnostic imaging / Q000628:therapy*; D000431:Ethanol / Q000627:therapeutic use; D005260:Female; D006801:Humans; D012597:Sclerosing Solutions / Q000627:therapeutic use; D015911:Sclerotherapy / Q000379:methods*; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional
chemical_list: D012597:Sclerosing Solutions; D000431:Ethanol