Published in:
01-03-2012 | Diagnosis and Management of Adnexal Mass (H Katabuchi, Section Editor)
Clinical Management of Ovarian Endometriotic Cyst (Chocolate Cyst): Diagnosis, Medical Treatment, and Minimally Invasive Surgery
Authors:
Masaki Mandai, Ayako Suzuki, Noriomi Matsumura, Tsukasa Baba, Ken Yamaguchi, Junzo Hamanishi, Yumiko Yoshioka, Kenzo Kosaka, Ikuo Konishi
Published in:
Current Obstetrics and Gynecology Reports
|
Issue 1/2012
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Abstract
In the clinical management of endometriotic cyst, three major clinical disruptions need to be addressed adequately: pain, infertility, and malignant transformation. Symptoms differ according to the patient’s age and her life stage, and they should be managed individually. This review discusses the role of medical treatment with currently available drug regimens as well as surgical interventions for endometriotic cyst in terms of each symptom. Endometriosis-associated ovarian cancer is an important issue in the management of endometriosis in relatively elderly women, although it is not yet widely recognized. The need for standard management of these patients is also discussed.