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Conservative management of post‐operative peritoneal cysts associated with endometriosis
Author(s) -
Takeuchi K,
Kitazawa S,
Kitagaki S,
Maruo T
Publication year - 1998
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/s0020-7292(97)00253-1
Subject(s) - medicine , endometriosis , cyst , conservative management , surgery , cytology , peritoneal fluid , gynecology , pathology
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. Conclusion: 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.