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Peritoneal inclusion cysts as a diagnostic and treatment challenge
, 2, 3, 2
Affiliations- Scientific Student’s Group of Chair and Department of Obstetrics, Gynecology and Gynecological Oncology, Medical University of Warsaw, Poland
- Chair and Department of Obstetrics, Gynecology and Gynecological Oncology, Medical University of Warsaw, Poland, Warsaw, Poland
- 1st Department and Clinic of General and Vascular Surgery, Medical University of Warsaw, Poland, Warsaw, Poland
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Abstract
Peritoneal inclusion cysts (PICs) are benign multilocular cysts that consist of fluid localized between intraperitoneal adhesions. They usually present in women in the third and fourth decades of life with a history of prior pelvic or abdominal surgery, especially months to 20 years ago. PICs have low mortality and the potential for high morbidity. Transvaginal ultrasound with color Doppler has an important role in the differential diagnosis. Also, a very important role is played by CA 125 plasma level or use of the ROMA algorithm. But thanks to laparoscopy and the possibility of biopsy from suspicious lesions the correct diagnosis can be established. Treatment of PICs depends individually on the patient’s condition, symptoms, other diseases, and desire for procreation. Among other contemplated are hormonal oral contraceptive, an image-guided aspiration, minimally invasive or open surgery. The issue of diagnosis and treatment of PICs requires the continuation of multicentre, randomized clinical trials to find and standardize effective, personalized treatments for PICs.
Abstract
Peritoneal inclusion cysts (PICs) are benign multilocular cysts that consist of fluid localized between intraperitoneal adhesions. They usually present in women in the third and fourth decades of life with a history of prior pelvic or abdominal surgery, especially months to 20 years ago. PICs have low mortality and the potential for high morbidity. Transvaginal ultrasound with color Doppler has an important role in the differential diagnosis. Also, a very important role is played by CA 125 plasma level or use of the ROMA algorithm. But thanks to laparoscopy and the possibility of biopsy from suspicious lesions the correct diagnosis can be established. Treatment of PICs depends individually on the patient’s condition, symptoms, other diseases, and desire for procreation. Among other contemplated are hormonal oral contraceptive, an image-guided aspiration, minimally invasive or open surgery. The issue of diagnosis and treatment of PICs requires the continuation of multicentre, randomized clinical trials to find and standardize effective, personalized treatments for PICs.
Keywords
peritoneal inclusion cysts; PIC; adhesions; infertility; ascites
About this articleTitle
Peritoneal inclusion cysts as a diagnostic and treatment challenge
Journal
Issue
Article type
Review paper
Pages
583-586
Published online
2021-08-11
Page views
1623
Article views/downloads
6705
DOI
Pubmed
Bibliographic record
Ginekol Pol 2021;92(8):583-586.
Keywords
peritoneal inclusion cysts
PIC
adhesions
infertility
ascites
Authors
Agata Natkanska
Magdalena A. Bizon-Szpernalowska
Tomasz Milek
Wlodzimierz Sawicki
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