Effectiveness of single-session ultrasound-guided percutaneous ethanol sclerotherapy in simple breast cysts

PURPOSE We aimed to evaluate the effectiveness of single-session ultrasound-guided percutaneous ethanolsclerotherapy in simple breast cysts. METHODS From January 2002 to January 2014, 35 simple breast cysts (mean volume, 8.2 mL; range, 4-33 mL) in 28 females (mean age, 39 years) were evaluated. In a single session, all cysts were aspirated using 20G needles, refilled with 99% ethanol (90% of the volume of the aspirated fluid), and reaspirated completely after 10 minutes of exposure under ultrasound guidance. Follow-up ultrasonography examinations were performed at one week, one month, three months, and six months for all patients and 12 months, 18 months, and 24 months for available patients. Followup duration varied between 6 and 24 months (mean, 15 months). RESULTS The technical success rate of ultrasound-guided percutaneous ethanol sclerotherapy was 97%.The needle tip was dislocated and ethanol was given into the breast parenchyma in one patient (3%). One cyst (3%) was reaspirated at the first week follow-up due to intracystic hemorrhage. Of the 34 cysts treated, 25 (74%) completely responded to therapy and were no longer detectable on follow-up examinations. Eight cysts (24%) significantly decreased in size and then completely disappeared at six months. At the end of the follow-up period, the clinical success rate reached 100%, and none of the cysts were visible. Except mild to moderate sensation of burning or pain which disappeared or subsided significantly in a couple of minutes, no other complications were observed in patients. CONCLUSION Ultrasound-guided ethanol sclerotherapy is a fast, safe, and highly effective method in the treatment of simple breast cysts.

Kaynakça

1. Berg WA, Sechtin AG, Marques H, Zhang Z. Cystic breast masses and the ACRIN 6666 experience. Radiol Clin North Am 2010; 48:931-987. [CrossRef]

2. Rinaldi P, Carmine I, Costantini M, et al. Cystic breast lesions, sonographic findings and clinical management. J Ultrasound Med 2010; 29:1617-1626.

3. Berg WA, Campassi CI, Ioffe OB. Cystic lesions of the breast: sonographic-pathologic correlation. Radiology 2003; 227:183-191. [CrossRef]

4. Chang YW, Kwon KH, Goo DE, Choi DL, Lee HK, Yang SB. Sonographic differentiation of benign and malignant cystic lesions of the breast. J Ultrasound Med 2007; 26:47-53.

5. Gizienski TA, Harvey JA, Sobel AH. Breast cyst recurrence after postaspiartion injection of air. Breast J 2002; 8:34-37. [CrossRef]

6. Ikeda DM, Helvie MA, Adler DD, Schwindt LA, Chang AE, Rebner M. The role of fine-needle aspiration and pneumocystography in the treatment of impalpable breast cysts. AJR Am J Roentgenol 1992; 158:1239-1241. [CrossRef]

7. Alvarez-Fernandez D, Gonzalez JL, Ayala-Luna JC, Rodriguez-Moran M, Guerrero-Romero F. Injection of absolute alcohol into cyst cavities, after cyst aspiration, for treating and reducing the rate of recurrence of benign breast cysts. Gynecol Surg 2010; 7:285-288. [CrossRef]

8. Gomes C, Amaral N, Marques C, Borralho R, de Oliveira CF. Sclerosis of gross cysts of the breast: a three-year study. Eur J Gynaecol Oncol 2002; 23:191-194.

9. Brenner RJ, Bein ME, Sarti DA, Vinstein AL. Spontaneous regression of interval benign cysts of the breast. Radiology 1994; 193:365- 368. [CrossRef]

10. Forrest APM, Kirkpatrick JR, Roberts MM. Needle aspiraion of breast cysts. Br Med J 1975; 5:30-31. [CrossRef]

11. Larssen TB, Jensen DK, Viste A, Horn A. Single-session alcohol sclerotherapy in symptomatic benign hepatic cysts, long term results. Acta Radiol 1999; 40:636-638. [CrossRef]

12. Yang CF, Liang HL, Pan HB, et al. Single-session prolonged alcohol-retention sclerotherapy for large hepatic cysts. AJR Am J Roentgenol 2006; 187:940-943. [CrossRef]

13. Zerem E, Imamovic G, Omerovic S. Symptomatic simple renal cyst: comparison of continuous negative-pressure catheter drainage and single-session alcohol cslerotherapy. AJR Am J Roentgenol 2008; 190:1193-1197. [CrossRef]

14. Cho YS, Lee HK, Ahn IM, et al. Sonographically guided ethanol sclerotherapy for benign thyroid cysts: results in 22 patients. AJR Am J Roentgenol 2000; 174:213-216. [CrossRef]

15. Sung JY, Baek JH, Kim KS, Lee D, Ha EJ, Lee JH. Symptomatic nonfunctioning parathyroid cysts: role of simple aspiration and ethanol ablation. Eur J Radiol 2013; 82:316-320. [CrossRef]

16. Akhan O, Özmen MN. Percutaneous treatment of liver hydatid cysts. Radiology 1999; 32:76- 85. [CrossRef]

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