ISSN: 1308-5727 | E-ISSN: 1308-5735
Volume: 16 Issue: 1 Year: 2024
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Turkish Society for Pediatric Endocrinology and Diabetes
Fetal-Neonatal Ovarian Cysts-Their Monitoring and Management: Retrospective Evaluation of 20 Cases and Review of the Literature [J Clin Res Pediatr Endocrinol]
J Clin Res Pediatr Endocrinol. 2010; 2(1): 28-33 | DOI: 10.4274/jcrpe.v2i1.28

Fetal-Neonatal Ovarian Cysts-Their Monitoring and Management: Retrospective Evaluation of 20 Cases and Review of the Literature

Mustafa Ali Akın1, Leyla Akın2, Sibel Özbek3, Gülay Tireli4, Sultan Kavuncuoğlu3, Serdar Sander4, Mustafa Akçakuş1, Tamer Güneş1, M. Adnan Öztürk1, Selim Kurtoğlu1
1Erciyes University Faculty Of Medicine, Department Of Pediatrics, Division Of Neonatology, Kayseri, Turkey
2Erciyes University Faculty of Medicine, Department of Pediatric Endocrinology, Kayseri, Turkey
3Bakırköy Maternity And Children Hospital, Department Of Pediatrics, Division Of Neonatology, İstanbul, Turkey
4Bakırköy Maternity And Children Hospital, Department Of Pediatric Surgery, İstanbul, Turkey

Objective: Neonatal ovarian cysts (NOC) are usually self-limiting structures. However, large or complex cysts may lead to severe complications. A standard guide to management, treatment and follow-up of NOC is not yet available. The aim of this study was to evaluate retrospectively the records of NOC patients from two medical centers.
Methods: A total of 20 newborns with NOC were included in the study. The size and localization of the cyst, the age, the signs and symptoms at presentation, and the possible maternal and fetal-neonatal etiologic factors were recorded. Follow-up procedures and treatment modalities were evaluated.
Results: The mean age at diagnosis was 34 gestational weeks. The cysts (mean size 53±15 mm) were predominantly in the right ovary (75%) and were evaluated as large cysts in 16 (80%) of the patients. In 5 of the patients with large cysts and in 1 of the 4 patients with small cysts, the cysts were evaluated as complex cysts. Torsion of the ovary was detected in five (25%) cases and these cases were treated surgically. Patients with simple cysts were closely followed by ultrasonography until the cysts disappeared.
Conclusion: To date, there is no precise guide for the monitoring and treatment of NOCs. Surgical treatment should always be performed in a way to protect the ovaries and to ensure future fertility. In our NOC series, it has been possible to apply a non-invasive follow-up program and minimally invasive surgical procedures.

Keywords: newborn,Ovarian cyst,management modality

Mustafa Ali Akın, Leyla Akın, Sibel Özbek, Gülay Tireli, Sultan Kavuncuoğlu, Serdar Sander, Mustafa Akçakuş, Tamer Güneş, M. Adnan Öztürk, Selim Kurtoğlu. Fetal-Neonatal Ovarian Cysts-Their Monitoring and Management: Retrospective Evaluation of 20 Cases and Review of the Literature. J Clin Res Pediatr Endocrinol. 2010; 2(1): 28-33
Manuscript Language: English
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