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 |
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container_title | European journal of pediatric surgery |
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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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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.</description><identifier>ISSN: 0939-7248</identifier><identifier>EISSN: 1439-359X</identifier><identifier>DOI: 10.1055/s-2008-1066087</identifier><identifier>PMID: 8086388</identifier><language>eng</language><publisher>Stuttgart: Thieme</publisher><subject>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</subject><ispartof>European journal of pediatric surgery, 1994-06, Vol.4 (3), p.137-140</ispartof><rights>Georg Thieme Verlag KG Stuttgart · New York</rights><rights>1994 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c452t-3a0e2acaa44349cac4f35f222b91d9299e1600c1cde61598f80c01bd12baf243</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-2008-1066087.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><link.rule.ids>315,782,786,3019,3020,27931,27932,54566</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4271960$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8086388$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sapin, E.</creatorcontrib><creatorcontrib>Bargy, F.</creatorcontrib><creatorcontrib>Lewin, F.</creatorcontrib><creatorcontrib>Baron, J. M.</creatorcontrib><creatorcontrib>Adamsbaum, C.</creatorcontrib><creatorcontrib>Barbet, J. P.</creatorcontrib><creatorcontrib>Helardot, P. -G.</creatorcontrib><title>Management of Ovarian Cyst Detected by Prenatal Ultrasounds</title><title>European journal of pediatric surgery</title><addtitle>Eur J Pediatr Surg</addtitle><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.</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. M.</creator><creator>Adamsbaum, C.</creator><creator>Barbet, J. P.</creator><creator>Helardot, P. -G.</creator><general>Thieme</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19940601</creationdate><title>Management of Ovarian Cyst Detected by Prenatal Ultrasounds</title><author>Sapin, E. ; Bargy, F. ; Lewin, F. ; Baron, J. M. ; Adamsbaum, C. ; Barbet, J. P. ; Helardot, P. -G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c452t-3a0e2acaa44349cac4f35f222b91d9299e1600c1cde61598f80c01bd12baf243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Female genital diseases</topic><topic>Fetal Diseases - diagnostic imaging</topic><topic>Fetal Diseases - epidemiology</topic><topic>Fetal Diseases - therapy</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Medical sciences</topic><topic>Original article</topic><topic>Ovarian Cysts - diagnostic imaging</topic><topic>Ovarian Cysts - epidemiology</topic><topic>Ovarian Cysts - therapy</topic><topic>Ovary - surgery</topic><topic>Pregnancy</topic><topic>Retrospective Studies</topic><topic>Suction</topic><topic>Tumors</topic><topic>Ultrasonography, Prenatal</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sapin, E.</creatorcontrib><creatorcontrib>Bargy, F.</creatorcontrib><creatorcontrib>Lewin, F.</creatorcontrib><creatorcontrib>Baron, J. M.</creatorcontrib><creatorcontrib>Adamsbaum, C.</creatorcontrib><creatorcontrib>Barbet, J. P.</creatorcontrib><creatorcontrib>Helardot, P. -G.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sapin, E.</au><au>Bargy, F.</au><au>Lewin, F.</au><au>Baron, J. M.</au><au>Adamsbaum, C.</au><au>Barbet, J. 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). 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.</abstract><cop>Stuttgart</cop><pub>Thieme</pub><pmid>8086388</pmid><doi>10.1055/s-2008-1066087</doi><tpages>4</tpages></addata></record> |
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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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