Yokoyama N, Yasuda R, Ichida K, Murakoshi H, Okada J, Yoshida S, Motoyama S
Clin Exp Obstet Gynecol. 2014;41(1):83-6.
To examine whether conservative treatment with oral contraceptives is effective in the shrinkage of a peritoneal inclusion cyst (PIC). This is a case report of two patients with a PIC that developed after gynecological surgery.
Both cases were suspected of a PIC based on the medical history, laboratory data, and image findings. It was difficult in differentiate a PIC from an ovarian tumor. Surgery was chosen at first. However, PICs in both cases recurred after surgery and were treated with oral contraceptives as a conservative treatment. PICs shrank after the treatment of oral contraceptives in both cases.
Due to the high rate of recurrence following surgery, conservative treatment is recommended to treat PICs. Hormone therapy using oral contraceptives seems to have some therapeutic benefit for the PICs.
探讨口服避孕药保守治疗对腹膜包涵囊肿（PIC）缩小是否有效。本文报告两例妇科手术后发生PIC的病例。
根据病史、实验室数据和影像学检查结果怀疑两例患者均为PIC。PIC与卵巢肿瘤很难鉴别。起初选择了手术治疗。然而，两例患者术后PIC均复发，遂采用口服避孕药进行保守治疗。两例患者经口服避孕药治疗后PIC均缩小。
由于手术后复发率高，建议采用保守治疗PIC。口服避孕药的激素治疗似乎对PIC有一定治疗效果。
