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.
Ginekol Pol. 2021;92(8):583-586. doi: 10.5603/GP.a2021.0142.
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.
腹膜包涵囊肿（PIC）是一种良性多房性囊肿，由腹腔粘连之间的液体局部积聚形成。它们通常发生在有盆腔或腹部手术史的女性中，尤其是在 30 至 40 岁之间，病史可追溯到数月至 20 年前。PIC 的死亡率低，但发病率高。经阴道超声联合彩色多普勒对鉴别诊断具有重要作用。此外，CA125 血浆水平或使用 ROMA 算法也具有非常重要的作用。但得益于腹腔镜和对可疑病变进行活检的可能性，能够明确诊断。PIC 的治疗取决于患者的具体情况、症状、其他疾病以及生育意愿。可考虑的治疗方法包括激素口服避孕药、影像引导抽吸、微创或开放手术。诊断和治疗 PIC 的问题需要继续进行多中心、随机临床试验，以找到并规范针对 PIC 的有效、个性化的治疗方法。
