Management of Ovarian Cyst Detected by Prenatal Ultrasounds

Abstract As a result of refinements in Prenatal Ultrasonography (US), neonatal ovarian cysts are more frequently encountered than in the past. Between January 1981 and December 1990, 21 consecutive fetuses with ovarian cysts were followed up by ultrasonography. 23 ovarian cysts were diagnosed betwee...

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Veröffentlicht in:European journal of pediatric surgery 1994-06, Vol.4 (3), p.137-140
Hauptverfasser: Sapin, E., Bargy, F., Lewin, F., Baron, J. M., Adamsbaum, C., Barbet, J. P., Helardot, P. -G.
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container_end_page 140
container_issue 3
container_start_page 137
container_title European journal of pediatric surgery
container_volume 4
creator Sapin, E.
Bargy, F.
Lewin, F.
Baron, J. M.
Adamsbaum, C.
Barbet, J. P.
Helardot, P. -G.
description Abstract As a result of refinements in Prenatal Ultrasonography (US), neonatal ovarian cysts are more frequently encountered than in the past. Between January 1981 and December 1990, 21 consecutive fetuses with ovarian cysts were followed up by ultrasonography. 23 ovarian cysts were diagnosed between 28 and 38 weeks gestation. 18 cysts were initially large cysts (more than 50 mm in diameter). In 9 cases, an anechoic cyst was observed and a US-guided needle aspiration of the cyst was performed (2 antenatally and 7 postnatally). Ultrasonographic patterns of complicated cyst were observed in 3 fetuses. After a postnatal ultrasound control, 11 infants were operated on: 8 surgical interventions were required for complicated cysts (torsion: 4, hemorrhage: 4), 3 cases irrespective of their sonographic appearance in our initial experience. In the remaining cases, spontaneous resolution was followed by repeated ultrasonographic examination. Prenatal ultrasonography today allows diagnosis of ovarian cysts and may suggest antenatal complications. To preserve as much ovarian tissue as possible, cysts greater than 50 mm in diameter should be candidates for percutaneous aspiration and complex cystic masses should be operated on.
doi_str_mv 10.1055/s-2008-1066087
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After a postnatal ultrasound control, 11 infants were operated on: 8 surgical interventions were required for complicated cysts (torsion: 4, hemorrhage: 4), 3 cases irrespective of their sonographic appearance in our initial experience. In the remaining cases, spontaneous resolution was followed by repeated ultrasonographic examination. Prenatal ultrasonography today allows diagnosis of ovarian cysts and may suggest antenatal complications. 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After a postnatal ultrasound control, 11 infants were operated on: 8 surgical interventions were required for complicated cysts (torsion: 4, hemorrhage: 4), 3 cases irrespective of their sonographic appearance in our initial experience. In the remaining cases, spontaneous resolution was followed by repeated ultrasonographic examination. Prenatal ultrasonography today allows diagnosis of ovarian cysts and may suggest antenatal complications. To preserve as much ovarian tissue as possible, cysts greater than 50 mm in diameter should be candidates for percutaneous aspiration and complex cystic masses should be operated on.</description><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Female genital diseases</subject><subject>Fetal Diseases - diagnostic imaging</subject><subject>Fetal Diseases - epidemiology</subject><subject>Fetal Diseases - therapy</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Medical sciences</subject><subject>Original article</subject><subject>Ovarian Cysts - diagnostic imaging</subject><subject>Ovarian Cysts - epidemiology</subject><subject>Ovarian Cysts - therapy</subject><subject>Ovary - surgery</subject><subject>Pregnancy</subject><subject>Retrospective Studies</subject><subject>Suction</subject><subject>Tumors</subject><subject>Ultrasonography, Prenatal</subject><issn>0939-7248</issn><issn>1439-359X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kM9LwzAUx4Moc06v3oQexFvnS5q2CZ5k_oTJPEzwFl7TRDu6diapsP_ejpXdPL0H38_7PvgQcklhSiFNb33MAERMIctA5EdkTHki4ySVn8dkDLLfc8bFKTnzfgVAuWQwIiMBIkuEGJO7N2zwy6xNE6LWRotfdBU20WzrQ_RggtHBlFGxjd6daTBgHX3UwaFvu6b05-TEYu3NxTAnZPn0uJy9xPPF8-vsfh5rnrIQJwiGoUbkPOFSo-Y2SS1jrJC0lExKQzMATXVpMppKYQVooEVJWYGW8WRCbva1G9f-dMYHta68NnWNjWk7r_Isp1Iy0YPTPahd670zVm1ctUa3VRTUTpbyaidLDbL6g6uhuSvWpjzgg50-vx5y9Bpr67DRlT9gnPWPM-ixeI-F76o3qVZt55peyH9v_wDjVH6f</recordid><startdate>19940601</startdate><enddate>19940601</enddate><creator>Sapin, E.</creator><creator>Bargy, F.</creator><creator>Lewin, F.</creator><creator>Baron, J. 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P.</au><au>Helardot, P. -G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Management of Ovarian Cyst Detected by Prenatal Ultrasounds</atitle><jtitle>European journal of pediatric surgery</jtitle><addtitle>Eur J Pediatr Surg</addtitle><date>1994-06-01</date><risdate>1994</risdate><volume>4</volume><issue>3</issue><spage>137</spage><epage>140</epage><pages>137-140</pages><issn>0939-7248</issn><eissn>1439-359X</eissn><abstract>Abstract As a result of refinements in Prenatal Ultrasonography (US), neonatal ovarian cysts are more frequently encountered than in the past. Between January 1981 and December 1990, 21 consecutive fetuses with ovarian cysts were followed up by ultrasonography. 23 ovarian cysts were diagnosed between 28 and 38 weeks gestation. 18 cysts were initially large cysts (more than 50 mm in diameter). In 9 cases, an anechoic cyst was observed and a US-guided needle aspiration of the cyst was performed (2 antenatally and 7 postnatally). 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source MEDLINE; Thieme Connect Journals
subjects Biological and medical sciences
Female
Female genital diseases
Fetal Diseases - diagnostic imaging
Fetal Diseases - epidemiology
Fetal Diseases - therapy
Gynecology. Andrology. Obstetrics
Humans
Infant, Newborn
Medical sciences
Original article
Ovarian Cysts - diagnostic imaging
Ovarian Cysts - epidemiology
Ovarian Cysts - therapy
Ovary - surgery
Pregnancy
Retrospective Studies
Suction
Tumors
Ultrasonography, Prenatal
title Management of Ovarian Cyst Detected by Prenatal Ultrasounds
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