Avoiding surgery for functional cyst.
Exclude malignancy ( U/S, Doppler and tumor marker like Ca-125) .
Age of patient must be considered (Surgery may be recommended in post menopausal women or in prepubertal).
Gynecologists should be aware of the role of Interventional ultrasound!!!!?
Sex cord Tumours
Germ cell Tumours
Ovarian Cyst Aspiration
Maybe an alternative for laparotomy or laparoscopy.
Is a matter of controversy .
High recurrence rate.
Unreliable cytology .
Risk of dissemination of Neoplastic cells.
Interventional Ultrasound for Ovarian Cyst Aspiration ?
1)Functional ovarian cysts
2)Pre menopausal ov cysts
3)Ovarian cyst during second trimester of pregnancy .
4)Retention cysts after GnRH analogue during long protocol of A.R.T cycle.
5)Some Endometriotic cyst
6)Ovarian cysts in fetuses
Postmenopausal Ovarian cyst
There is no physiological Ovarian cyst cyst in postmenopausal women
Aspiration is not recommended for the management of ovarian cysts in postmenopausal women.