title: Conservative versus surgical treatment for complex neonatal ovarian cysts: outcomes study.
abstract: 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.
authors.affiliation: Pediatric Radiology Department, Hospital Materno-infantil Vall d'Hebron, Ps. Vall d'Hebron 119-129, Barcelona E-08035, Spain. genriquez@vhebron.net
authors.forename: Goya
authors.initials: G
authors.lastname: Enríquez
authors.forename: Carmina
authors.initials: C
authors.lastname: Durán
authors.forename: Nuria
authors.initials: N
authors.lastname: Torán
authors.forename: Joaquim
authors.initials: J
authors.lastname: Piqueras
authors.forename: Eduard
authors.initials: E
authors.lastname: Gratacós
authors.forename: Celestino
authors.initials: C
authors.lastname: Aso
authors.forename: Josep
authors.initials: J
authors.lastname: Lloret
authors.forename: Amparo
authors.initials: A
authors.lastname: Castellote
authors.forename: Javier
authors.initials: J
authors.lastname: Lucaya
mesh_terms: 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