Gonadotropin-Releasing Hormone Analogue Therapy for Peritoneal Inclusion Cysts after Gynecological Surgery
Article first published online: 24 MAY 2010
2000 Japan Society of Obstetrics and Gynecology
Journal of Obstetrics and Gynaecology Research
Volume 26, Issue 6, pages 389–393, December 2000
How to Cite
Nozawa, S., Iwata, T., Yamashita, H., Banno, K., Kubushiro, K., Aoki, R. and Tsukazaki, K. (2000), Gonadotropin-Releasing Hormone Analogue Therapy for Peritoneal Inclusion Cysts after Gynecological Surgery. Journal of Obstetrics and Gynaecology Research, 26: 389–393. doi: 10.1111/j.1447-0756.2000.tb01347.x
- Issue published online: 24 MAY 2010
- Article first published online: 24 MAY 2010
- May 17, 2000; Oct. 20, 2000
- peritoneal inclusion cysts;
- gonadotropin-releasing hormone analogue;
- conservative therapy
Objective: The purpose of this report is to estimate the effectiveness of gonadotropin-releasing hormone analogue (Gn-RHa) therapy for peritoneal inclusion cysts.
Methods: Patients who had cystic masses that developed after gynecological surgery and were strongly suspected of being peritoneal inclusion cysts based on the results of ultrasound, magnetic resonance imaging (MRI), and tumor marker studies, were treated with a Gn-RHa (buserelin acetate or leuprorelin acetate). Buserelin acetate was administered at a dose of 900 μg/day, and leuprorelin acetate at a dose of 3.75 mg/month. Ultrasonography was performed in the outpatient clinic every 2 weeks after the start of administration to measure the diameter of cysts.
Results: We treated 8 patients with peritoneal inclusion cysts conservatively with a Gn-RHa. The cysts resolved in 7 of the patients. Two of them developed a recurrence, but further Gn-RHa therapy was followed by complete resolution of the cysts in one patient and we resume Gn-RHa therapy to the other patient. The peritoneal inclusion cysts failed to shrink in only one patient.
Conclusion: It is suggested that Gn-RHa therapy is effective in some cases of peritoneal inclusion cysts.