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Treatment of branchial cleft cyst with intracystic injection of OK-432.
- Source :
-
Acta oto-laryngologica [Acta Otolaryngol] 2006 May; Vol. 126 (5), pp. 510-4. - Publication Year :
- 2006
-
Abstract
- Conclusions: The data suggest that branchial cleft cyst (BCC) can be primarily treated with OK-432 sclerotherapy and only the remaining lesions with excision.<br />Objectives: To evaluate the effectiveness of sclerotherapy using OK-432 in the treatment of BCC.<br />Materials and Methods: We treated 12 BCC patients (3 males and 9 females; mean age 25 years) with OK-432 sclerotherapy at an outpatient clinic. The cystic fluids were aspirated and diagnosed by cytomorphology and DNA cytometric analysis to exclude malignancy. The fluid aspirated from the cyst was replaced with an equal volume of OK-432 solution. The sizes of cysts were measured and compared before and after injection. The remaining cysts were excised and histopathologically compared with the excised BCCs that had not been treated with OK-432.<br />Results: Seven of 12 patients (58%) showed a complete response after OK-432 injection, administered one to three times. Three patients (25%) had only partial response and two (17%) were stationary. Five patients with remaining lesions underwent excision. There was no difficulty in dissecting around the cysts and no increased morbidity during operation. None of the patients had evidence of recurrences or malignancies developing during the follow-up period (mean 21 months, range 17-26 months). There were no major side effects except fever after sclerotherapy.
- Subjects :
- Adolescent
Adult
Ambulatory Care
Branchial Region diagnostic imaging
Branchial Region pathology
Branchioma diagnostic imaging
Branchioma pathology
Combined Modality Therapy
Female
Follow-Up Studies
Humans
Injections, Intralesional
Male
Otorhinolaryngologic Neoplasms diagnostic imaging
Otorhinolaryngologic Neoplasms pathology
Prospective Studies
Tomography, X-Ray Computed
Antineoplastic Agents administration & dosage
Branchioma therapy
Neoadjuvant Therapy
Otorhinolaryngologic Neoplasms therapy
Picibanil administration & dosage
Sclerotherapy
Subjects
Details
- Language :
- English
- ISSN :
- 0001-6489
- Volume :
- 126
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Acta oto-laryngologica
- Publication Type :
- Academic Journal
- Accession number :
- 16698701
- Full Text :
- https://doi.org/10.1080/00016480500437443