Hyun Kyong Lim1, Jeong Yeon Cho, Seung Hyup Kim. 1. Department of Radiology, Seoul National University College of Medicine, 28, Yongon-dong, Chongno-gu, Seoul, 110-744, Republic of Korea.
Abstract
BACKGROUND: This study was designed to evaluate the long-term results of sclerotherapy for the treatment of peritoneal inclusion cysts (PICs). METHODS: Twenty-nine patients with 30 PICs were included in the study. Sclerotherapy was performed with use of povidone-iodine in 13 PICs and ethanol in 17 PICs, until the drained volume was less than 5 mL. Patients were evaluated after 1 month, 4 months, and then every 6 months by clinical assessment and ultrasound examination. RESULTS: Sclerotherapy was technically successful for all 30 PICs. During the follow-up period of 7-94 months (mean: 38.0 months), the PICs completely disappeared in 15 lesions and the diameter of the cysts decreased more than 50% without symptoms for the other 12 lesions. The overall long-term success rate was 90.0% (27/30). There was no significant difference in the success rate between the use of povidone-iodine (92.3%, 12/13) and ethanol (88.2%, 15/17). Recurrence of a PIC occurred in three patients. Two PICs completely regressed without further recurrence after re-sclerotherapy. Remaining one was removed under surgery. CONCLUSIONS: Sclerotherapy following catheter insertion is a safe, effective, and reliable method for the treatment of PICs. Long-term regular follow-up months may not be necessary.
BACKGROUND: This study was designed to evaluate the long-term results of sclerotherapy for the treatment of peritoneal inclusion cysts (PICs). METHODS: Twenty-nine patients with 30 PICs were included in the study. Sclerotherapy was performed with use of povidone-iodine in 13 PICs and ethanol in 17 PICs, until the drained volume was less than 5 mL. Patients were evaluated after 1 month, 4 months, and then every 6 months by clinical assessment and ultrasound examination. RESULTS: Sclerotherapy was technically successful for all 30 PICs. During the follow-up period of 7-94 months (mean: 38.0 months), the PICs completely disappeared in 15 lesions and the diameter of the cysts decreased more than 50% without symptoms for the other 12 lesions. The overall long-term success rate was 90.0% (27/30). There was no significant difference in the success rate between the use of povidone-iodine (92.3%, 12/13) and ethanol (88.2%, 15/17). Recurrence of a PIC occurred in three patients. Two PICs completely regressed without further recurrence after re-sclerotherapy. Remaining one was removed under surgery. CONCLUSIONS: Sclerotherapy following catheter insertion is a safe, effective, and reliable method for the treatment of PICs. Long-term regular follow-up months may not be necessary.
Authors: Wouter B Veldhuis; Oguz Akin; Debra Goldman; S Mironov; O Mironov; Robert A Soslow; Richard R Barakat; Hedvig Hricak Journal: Eur Radiol Date: 2012-12-22 Impact factor: 5.315