Clinical experiences of fetal ovarian cyst: diagnosis and consequence.
Ovarian cysts are the most frequent, prenatally diagnosed intra-abdominal cysts. Fetal ovarian cyst often presents complication such as torsion and seems to be an indication for surgical intervention. In this study, we reviewed pre- and post-natal medical records and ultrasonography of 17 fetuses that were diagnosed with ovarian cysts. In a total of 17 cases, postnatal surgery was performed in 7 infants. Of these cases, four cases of ovarian cyst torsion were confirmed. In the remaining 10 fetuses, one case regressed completely during pregnancy, and the other nine cases including two complex cysts resolve spontaneously after birth. Postnatal symptomatic cysts or cysts with a diameter greater than 5 cm that do not regress or enlarge should be treated, but uncomplicated asymptomatic cysts less than 5 cm in diameter should only be observed and reassessed by serial ultrasonography. If they regress spontaneously, no surgical intervention is necessary independent of their sonographic findings.
Kwak
Dong Wook
DW
Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seodaemun-gu, Seoul, Korea.
Sohn
Yong Seok
YS
Kim
Sei Kwang
SK
Kim
In Kyu
IK
Park
Yong Won
YW
Kim
Young Han
YH
D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis* / Q000601:surgery; D005865:Gestational Age; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010048:Ovarian Cysts / Q000175:diagnosis* / Q000601:surgery; D010052:Ovariectomy / Q000379:methods; D011247:Pregnancy; D012075:Remission, Spontaneous; D016216:Ultrasonography, Prenatal / Q000379:methods*