Conservative Versus Surgical Treatment for Complex Neonatal Ovarian Cysts: Outcomes Study

Abstract

Clinical evidence questions the use of surgery for asymptomatic complex ovarian cysts. Histologic analysis suggests gonad maldevelopment as the origin of complex neonatal ovarian cysts.

Conservative Management of a Large Neonatal Ovarian Cyst: A Case Report

“…The exact incidence is not known, but estimated to be one in 2,600 pregnancies [1]. Exact etiopathogenesis for development of NOC is unclear but it is hypothesised that formation of the cyst is caused by germinal epithelial secretion in a dysgenic gonad [2]. During maturation of gonads, the ovary descends in the neonatal pelvis.…”

“…Enriquez et al, in their study managed nine NOC surgically and 11 NOC patients conservatively, noted loss of ovarian tissue in all surgically managed cases [2]. Ben-Ami et al, reviewed records of 23 children diagnosed prenatally with NOC, treated by either conservative management (n = 13) or surgical intervention (n = 10) postnatally.…”

Fetal ovarian cyst mimicking a CSF pseudocyst in the setting of shunt failure

“…5 The exact etiology of these cysts is not known, but their pathogenesis is likely endocrinological in origin. As reviewed by Akın et al, 1 there is an increased incidence of fetal ovarian cysts among pregnancies complicated by diabetes, preeclampsia, and Rhesus factor incompatibility, attributed to the increased levels of placental chorionic gonadotropin levels that accompany these conditions.…”

Treatment of large ovarian cysts in newborns and the effectiveness of laparoscopic approach

“…Ancak, çapı 4-5 cm'den büyük olanların %80 torsiyon ve kist içerisine kanama, intestinal tıkanıklık, üriner sistem ve vena kava basısı gibi komplikasyonlara neden olabilecekleri bilinmektedir (9)(10)(11)(12) . Hangi kistlerin komplikasyona neden olacağı, hangilerinin sorunsuz bir gerileme dönemi yaşayacağı öngörülememekte-dir.…”