Author/Editor		Petrovič, Nela; Arko, Darja; Gavrić-Lovrec, Vida; Takač, Iztok
Title		Ultrasound guided aspiration in pathological adnexal processes
Type		članek
Source		Eur J Obstet Gynecol Reprod Biol
Vol. and No.		Letnik 104, št. 1
Publication year		2002
Volume		str. 52-7
Language		eng
Abstract		Objective: To establish the efficiency of ultrasonographically guided transvaginal adnexal cyst aspiration as a treatment and diagnostic method. Study Design: In 72 patients with an adnexal cystic mass, transvagina! 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. Conclusion: 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.
Descriptors		ADNEXAL DISEASES CYSTS SUCTION BIOPSY, NEEDLE RECURRENCE AGE FACTORS