Ovarian cysts in the fetus and neonate--changes in sonographic pattern in the follow-up and their management.
In a multicenter trial we retrospectively evaluated the clinical and sonographic data of 49 neonatal ovarian cysts, 44 of which were detected prenatally and 5 on the first day after delivery. Of the 44 prenatally detected cysts 39 were purely cystic, 5 echogenic or had a mixed pattern. In 20 patients the cystic appearance changed during delivery from purely cystic to a mixed pattern being independent on the size of the cyst. 26 of the 44 cysts were treated surgically. Salpingotorsion was found in 8 and was independent on the size of the cyst. In 15 a salpingo-oophorectomy or oophorectomy was performed, in 11 the ovary was saved. 23 patients were followed sonographically: 15 cysts showed complete resolution within 14 months without correlation to the sonographic pattern. The volume of these cysts varied between 5 and 71 ml. Neonatal ovarian cysts disappear spontaneously frequently and rarely cause severe symptoms. The authors recommend follow-up by ultrasound as the primary modality. Surgical intervention is recommended only if the cyst is space-occupying and percutaneous puncture can not be performed or in the case of emergency.
Müller-Leisse
C
C
Department of Diagnostic Radiology, University of Technology, Aachen, FRG.
Bick
U
U
Paulussen
K
K
Tröger
J
J
Zachariou
Z
Z
Holzgreve
W
W
Schuhmacher
R
R
Horvitz
A
A
D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D010048:Ovarian Cysts / Q000000981:diagnostic imaging* / Q000601:surgery; D011247:Pregnancy; D012189:Retrospective Studies; D016216:Ultrasonography, Prenatal