Prenatal diagnosis and clinical outcome of ovarian cysts

P. Bagolan, M. Rivosecchi, C. Giorlandino, E. Bilancioni, A. Nahom, A. Zaccara, A. Trucchi, F. Ferro

Research output: Contribution to journalArticle

Abstract

Technical refinements of ultrasound (US) have greatly affected the antenatal diagnosis and treatment of ovarian cysts. From 1985 to 1990 25 consecutive fetuses with ovarian cysts were followed-up by US both during pregnancy and postnatally. All cases were diagnosed between the 28th and 39th weeks of gestation. Deliveries were all at term; cesarean section was required only for obstetric complications. Eight fetuses (32%) showed US patterns of cyst torsion, a finding confirmed at surgery in all. In five patients US patterns suggested complications postnatally that were also confirmed at operation. In six cases cysts increased or remained unchanged in size after 15 days of life: in 50% of these surgery showed ovarian torsion. In the remaining six cases spontaneous resolution occurred within 1 to 4 months. One patient required intrauterine needle aspiration. There were two cases of intestinal obstruction. To date, more than 60% of newborns with ovarian cysts require oophorectomy; however, different treatments (cystectomy, needle aspiration, uncapping) combined with a close US follow-up are likely to reduce this percentage.

Original languageEnglish
Pages (from-to)879-881
Number of pages3
JournalJournal of Pediatric Surgery
Volume27
Issue number7
DOIs
Publication statusPublished - 1992

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Keywords

  • antenatal diagnosis
  • fetal ultrasound
  • Ovarian cyst

ASJC Scopus subject areas

  • Surgery

Cite this

Bagolan, P., Rivosecchi, M., Giorlandino, C., Bilancioni, E., Nahom, A., Zaccara, A., Trucchi, A., & Ferro, F. (1992). Prenatal diagnosis and clinical outcome of ovarian cysts. Journal of Pediatric Surgery, 27(7), 879-881. https://doi.org/10.1016/0022-3468(92)90390-S