Conservative versus surgical treatment for complex neonatal ovarian cysts: outcomes study.
OBJECTIVE
Prenatally diagnosed complex ovarian cysts are most often managed surgically in an attempt to save the ovary. Nevertheless, published surgical results disclose that most patients undergo oophorectomy or salpingo-oophorectomy. We assessed whether a surgical or conservative approach was more appropriate by comparing the long-term outcome of infants treated by both methods. A hypothesis for the cause of complex cysts is presented.


CONCLUSIONS
Clinical evidence questions the use of surgery for asymptomatic complex ovarian cysts. Histologic analysis suggests gonad maldevelopment as the origin of complex neonatal ovarian cysts.
Enríquez
Goya
G
Pediatric Radiology Department, Hospital Materno-infantil Vall d'Hebron, Ps. Vall d'Hebron 119-129, Barcelona E-08035, Spain. genriquez@vhebron.net
Durán
Carmina
C
Torán
Nuria
N
Piqueras
Joaquim
J
Gratacós
Eduard
E
Aso
Celestino
C
Lloret
Josep
J
Castellote
Amparo
A
Lucaya
Javier
J
D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010048:Ovarian Cysts / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D011860:Radiography, Abdominal; D016896:Treatment Outcome; D016216:Ultrasonography, Prenatal