Rapid recurrence of endometrioma after transvaginal ultrasound-guided aspiration

Louis Yik-Si Chan, Chan LY, Louis Y. Chan, W. W. K. So, So WW, William W So, Lao TT, Terence T. Lao
European journal of obstetrics, gynecology, and reproductive biology · 2003 · vol. 109(2) , pp. 196–198 · doi:10.1016/s0301-2115(03)00011-3 · PMID:12860341 · W1997533446
Non-randomised trial OA: closed CC0 ⤵ 35 in-corpus citations
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This paper reports on the rapid recurrence of endometrioma following transvaginal ultrasound-guided aspiration.

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Abstract

OBJECTIVE: Ultrasound-guided aspiration is a less invasive management option for recurrent endometrioma. We postulated that the endometriotic tissue in the epithelial lining of endometrioma had undergone pressure atrophy after a period of observation, and resolution of the endometrioma can be achieved by aspiration of its content. STUDY DESIGN: A prospective study was carried out in which patients with recurrent endometrioma that remain stationary in size for a period of at least 6 months were included. Ultrasound-guided aspiration of endometrioma was performed transvaginally under conscious sedation. Ultrasound scan examination was performed at 1, 3, 6, and 12 months after aspiration to detect recurrence. RESULTS: Eight endometriomas were aspirated in six patients. The mean diameter and volume of endometrioma at aspiration were 31.0 mm (range, 18.0-46.3 mm) and 21.9 ml (range, 3.16-52.0 ml), respectively. There were no major complications. Cytological examination revealed hemosiderin-laden macrophages; neither malignant cells nor endometrial cells were detected in all cases. Six ovarian cysts recurred in five women (83.3%), all recurrence were detected within 3 months after aspiration. CONCLUSION: We concluded that although transvaginal ultrasound-guided aspiration is a safe procedure, but the recurrence rate after aspiration is unacceptably high, and hence cannot be recommended as a treatment option for recurrent endometrioma.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Ovarian Cysts Suction Endometriosis Endometriosis Endometriosis Endometriosis Female Female Follow-Up Studies Follow-Up Studies Humans Humans Minimally Invasive Surgical Procedures Minimally Invasive Surgical Procedures Minimally Invasive Surgical Procedures Ovarian Cysts Ovarian Cysts Ovarian Cysts Ovarian Cysts

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (16)

Cited by (35)

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License: CC0 · commercial use OK