Journals / GORM:Gynecology Obstetrics & Reproductive Medicine / 2013 / Cilt: 19 - Sayı: 2

Fetal Ovaryan Kistlerin Prenatal Tanısı ve Postnatal Sonuçları

Prenatal Diagnosis and Postnatal Outcome of Fetal Ovarian Cysts

Pages
201319282–201319285
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Unless complicated with torsion and haemorrhage, close ultrasonographic follow- up is to be recommended.

📌 3 Key Takeaways

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Objective & Hypothesis:OBJECTIVE: The aim of the present study was to assess the ultrasonographic features, clinical characteristic, and neonatal outcome in fetuses with ovarian cyst.
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Key Findings & Data:The age of antenatal diagnoses ranged between 30-36 gestational weeks'.
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Conclusion & Impact:Unless complicated with torsion and haemorrhage, close ultrasonographic follow- up is to be recommended.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

OBJECTIVE: The aim of the present study was to assess the ultrasonographic features, clinical characteristic, and neonatal outcome in fetuses with ovarian cyst. STUDY DESIGN: Retrospective analysis of nine cases of fetal ovarian cyst diagnosed antenatally with regard to ultrasonographic finding, clinical course, and postnatal outcome. RESULTS: Nine cases were diagnosed as having fetal ovarian cysts antenatally. The age of antenatal diagnoses ranged between 30-36 gestational weeks'. One case had (1/9, 11%) additional anomaly (Double collecting system). The cysts were unilateral in all cases. In one case the giant ovarian cyst was drained antenatally due to its compressive effects. Two cases were operated postnatally because of ovarian torsion (2/9, 22.2%). One case had persistent ovarian cyst which showed some degree of regression postnatally. One case regressed before birth, and remaining four cases completely vanished during postnatal follow- up (4/9, 44.4%). CONCLUSION: The most probable outcome for fetal ovarian cysts is spontaneous resolution. Unless complicated with torsion and haemorrhage, close ultrasonographic follow- up is to be recommended.

Özet

AMAÇ: Bu çalışmanın amacı ovaryan kist olan fetuslarda ultrasonografik özellikleri, klinik karakteristikleri ve neonatal sonuçları incelemektir. GEREÇ VE YÖNTEM: Fetal ovaryan kist saptanmış dokuz olguya ait antenatal ultrasonografi, klinik seyir ve postnatal sonuçlara dair veriler geriye dönük olarak değerlendirildi. BULGULAR: Antenatal olarak dokuz hastada fetal ovaryan kist saptandı. Tanı ortalama 30-36 gebelik haftaları arasında konuldu. Bir vakada (1/9, %11) ek anomali saptandı (çift toplayıcı sistem). Tüm vakalarda kistler tek taraflıydı. Bir vakada dev ovaryan kist bası semptomları nedeniyle antenatal aspirasyon ile boşaltıldı. İki vaka ovaryan torsiyon tanısıyla postnatal opere edildi (2/9, %22,2). Bir vakada postnatal kısmi gerileyen tekrarlayan kist izlendi. Bir vaka doğumdan önce geriledi, kalan dört vaka ise postnatal takipler sırasında kayboldu (4/9, %44.4). SONUÇ: Fetal ovaryan kistler için en muhtemel sonuç kendili- ğinden gerilemedir. Torsiyon ya da hemoraji gibi komplikasyonlar olmadıkça ultrasonografik takip önerilmelidir.

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Cite This Article

DOLANBAY, M., ÖZGÜN, M. T., TONGUÇ, M., BAŞBUĞ, M., KÜTÜK, M. S. (2013). Fetal Ovaryan Kistlerin Prenatal Tanısı ve Postnatal Sonuçları. GORM:Gynecology Obstetrics & Reproductive Medicine, Cilt: 19 - Sayı: 2, 201319282–201319285. https://ajindex.com/articles/203645

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References (13)

  1. Meizner I, Levy A, Katz M, Maresh AJ, Glezerman M. Fetal ovarian cysts: prenatal ultrasonographic detection and postnatal evaluation and treatment. Am J Obstet Gynecol 1991;164:874-8
  2. Nussbaum AR, Sanders RC, Hartman DS, Dudgeon DL, Parmley TH. Neonatal ovarian cysts: sonographic-pathologic correlation. Radiology 1988;168:817-21
  3. Crombleholme TM, Craigo SD, Garmel S, D'Alton ME. Fetal ovarian cyst decompression to prevent torsion. J Pediatr Surg 1997;32:1447-9
  4. Nguyen KT, Reid RL, Sauerbrei E. Antenatal sonographic detection of a fetal theca lutein cyst: a clue to maternal diabetes mellitus. J Ultrasound Med 1986;5:665-7
  5. Jafri SZ, Bree RL, Silver TM, Ouimette M. Fetal ovarian cysts: sonographic detection and association with hypothyroidism. Radiology 1984;150:809-12 6. Gaspari L, Paris F, Nicolino M, Hameury F, Bonnaure H, Pienkowski C, et al. Fetal ovarian cysts: an early manifestation of McCune-Albright syndrome? Prenat Diagn 2012;32:859-63
  6. Sapin E, Bargy F, Lewin F, Baron JM, Adamsbaum C, Barbet JP, et al. Management of ovarian cyst detected by prenatal ultrasounds. Eur J Pediatr Surg 1994;4:137-40
  7. Zamora M, González N. Spontaneous resolution of a sonographically complicated fetal ovarian cyst. J Ultrasound Med 1992;11:567-9
  8. Foley PT, Ford WD, McEwing R, Furness M. Is conservative management of prenatal and neonatal ovarian cysts justifiable? Fetal Diagn Ther 2005;20:454-8
  9. Akın MA, Akın L, Özbek S, Tireli G, Kavuncuoğlu S, Sander S, et al. Fetal-neonatal ovarian cysts--their monitoring and management: retrospective evaluation of 20 cases and review of the literature. J Clin Res Pediatr Endocrinol 2010;2:28-33
  10. Heling KS, Chaoui R, Kirchmair F, Stadie S, Bollmann R. Fetal ovarian cysts: prenatal diagnosis, management and postnatal outcome. Ultrasound Obstet Gynecol 2002; 20:47-50
  11. Turgal M, Ozyuncu O, Yazicioglu A. Outcome of sonographically suspected fetal ovarian cysts. J Matern Fetal Neonatal Med. 2013 May 23. [Epub ahead of print] 13. Giorlandino C, Rivosecchi M, Bilancioni E, Bagolan P, Zaccara A, Taramanni C, et al. Successful intrauterine therapy of a large fetal ovarian cyst. Prenat Diagn 1990;10:473-5
  12. Perrotin F, Potin J, Haddad G, Sembely-Taveau C, Lansac J, Body G. Fetal ovarian cysts: a report of three cases managed by intrauterine aspiration. Ultrasound Obstet Gynecol 2000;16:655-9
  13. Rizzo N, Gabrielli S, Perolo A, Pilu G, Cacciari A, Domini R, et al. Prenatal diagnosis and management of fetal