Role of puncture and aspiration in expectant management of simple ovarian cysts: a randomised study.
BMJ
; 313(7065): 1110-3, 1996 Nov 02.
Article
em En
| MEDLINE
| ID: mdl-8916695
ABSTRACT
OBJECTIVES:
To assess the potential of expectant management for simple ovarian cysts diagnosed by transabdominal or transvaginal ultrasonography. To compare the results of needle aspiration with those achieved with simple observation.DESIGN:
Randomised trial.SETTING:
Hospital department of obstetrics and gynaecology.SUBJECTS:
278 women with simple cysts randomly allocated to simple observation (143) or ultrasound guided fine needle aspiration (135) between 1990 and 1994. MAIN OUTCOMEMEASURES:
Resolution of cyst or development of malignancy.RESULTS:
After six months 269 were available for follow up. The rate of resolution was 46% (59/128) with aspiration and 44.6% (63/141) with observation. Only the diameter of the cyst (P < 0.0001) was a significant independent prognostic factor for resolution in a multivariate analysis. Age and treatment had no significant effect. One woman was subsequently found to have borderline malignant changes on histopathological examination. Her cyst was detected by transabdominal ultrasonography.CONCLUSIONS:
Expectant management for up to six months does not cause risks for the patients and allows spontaneous resolution in over a third of cases, avoiding the costs and risks of unnecessary surgery. Aspiration does not provide better results than simple observation.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Cistos Ovarianos
/
Drenagem
Tipo de estudo:
Clinical_trials
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
BMJ
Ano de publicação:
1996
Tipo de documento:
Article