title: The incidence and surgical management of paratubal cysts in a pediatric and adolescent population.
abstract: OBJECTIVE
  The aim of this study is to determine the incidence of paratubal cysts (PTCs) in a pediatric and adolescent population.
  
  
  METHODS
  An institutional review board-approved retrospective chart review was performed between the years of 1998 and 2008 at a single children's hospital. Inclusion criteria were met if pathology reports demonstrated diagnosis of PTC, hydrosalpinx, or hydatid of morgagni.
  
  
  RESULTS
  One hundred ten patients had confirmed diagnoses of hydatid of morgagni, hydrosalpinx, or PTC. The incidence of PTCs was 7.3%. Mean age of PTC diagnosis was 13.7 ± 2.82 years, with 12.6% diagnosed premenarchal. Mean age menarche was 11.7 ± 1.34 years among pubertal females. The age of menarche and diagnosis of PTC correlated (Pearson, 0.54) (P < .0001). There was a small correlation between body mass index and size of PTC (r = 0.36; P ≤ .001).
  
  
  CONCLUSIONS
  The incidence of PTCs was 7.3% in this pediatric and adolescent population. In addition, this is the first study to confirm presence of PTCs in prepubertal females. Surgeon should be aware of these benign cysts because they are frequently a source of abdominal pain in young girls. As nonphysiologic cysts, these will not resolve spontaneously and may increase in size and/or be at risk for adnexal torsion. Ultimately, surgical management is required for definitive resolution.
authors.affiliation: Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USA.
authors.forename: Enyioma
authors.initials: E
authors.lastname: Muolokwu
authors.forename: Judith
authors.initials: J
authors.lastname: Sanchez
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Bercaw
authors.forename: Haleh
authors.initials: H
authors.lastname: Sangi-Haghpeykar
authors.forename: Tara
authors.initials: T
authors.lastname: Banszek
authors.forename: Mary L
authors.initials: ML
authors.lastname: Brandt
authors.forename: Jennifer E
authors.initials: JE
authors.lastname: Dietrich
mesh_terms: D000291:Adnexal Diseases / Q000453:epidemiology; D000293:Adolescent; D015992:Body Mass Index; D002648:Child; D015897:Comorbidity; D004198:Disease Susceptibility; D005260:Female; D012739:Gonadal Steroid Hormones / Q000502:physiology; D006776:Hospitals, Pediatric / Q000706:statistics & numerical data; D006784:Hospitals, Teaching / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D008572:Menarche; D009765:Obesity / Q000453:epidemiology; D010049:Ovarian Diseases / Q000453:epidemiology; D010310:Parovarian Cyst / Q000175:diagnosis / Q000196:embryology / Q000453:epidemiology* / Q000601:surgery; D011085:Polycystic Ovary Syndrome / Q000453:epidemiology; D012189:Retrospective Studies; D013781:Texas / Q000453:epidemiology; D014102:Torsion Abnormality / Q000453:epidemiology; D055815:Young Adult
chemical_list: D012739:Gonadal Steroid Hormones