1993
DOI: 10.1159/000263824
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Fetal Ovarian Cysts: Diagnostic and Therapeutic Role for Intrauterine Aspiration

Abstract: Antenatal diagnoses of fetal ovarian cysts have not usually been confirmed until postnatal surgery. We describe 2 cases of hemorrhage into fetal ovarian cysts in which cyst aspiration in utero allowed both confirmation of the diagnosis prenatally and obviated the need for neonatal surgery. In both cases, cytology of the cyst aspirate demonstrated luteinized granulosa cells and biochemistry showed estradiol levels of > 10,000 pmol/l, indicating ovarian etiology. Hemorrhage, which had been suspected on ultrasoun… Show more

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Cited by 17 publications
(11 citation statements)
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“…Follow-up until the baby was a year old showed no recurrence of the cyst. Similar findings were reported in a study by Meager et al [25] in which hemorrhage into the fetal adnexal cysts was suggested on ultrasound and in which percutaneous needle aspiration under ultrasound guidance was performed successfully, obviating the need for surgery. Another case series of 3 patients [26] provided data supporting percutaneous needle aspiration as a viable option.…”
Section: Percutaneous Aspirationsupporting
confidence: 89%
“…Follow-up until the baby was a year old showed no recurrence of the cyst. Similar findings were reported in a study by Meager et al [25] in which hemorrhage into the fetal adnexal cysts was suggested on ultrasound and in which percutaneous needle aspiration under ultrasound guidance was performed successfully, obviating the need for surgery. Another case series of 3 patients [26] provided data supporting percutaneous needle aspiration as a viable option.…”
Section: Percutaneous Aspirationsupporting
confidence: 89%
“…Thus observation of small simple neonatal ovarian cysts with serial ultrasound, anticipating spontaneous involution and ovarian preservation, has evolved [8,13,17,31] . For larger ovarian cysts intervention in the form of aspiration or operation has been suggested [9][10][11][20][21][22] and may well be justifi ed, but we did not carry out any aspirations in the neonate during the study period. Whereas the aspiration of large simple neonatal cysts might prevent serious complications, both our neonatal cases presented with such complications already at birth, emphasising that simple cysts are not always clinically benign, aspiration after birth may at times be too late, and that complications, although rare [26] , are possible.…”
Section: Simple Neonatal Cystsmentioning
confidence: 99%
“…There have been advocates for the removal of all neonatal ovarian cysts [5,6] , for leaving simple cysts [7,8] , for the antenatal aspiration of simple cyst to prevent complications [9][10][11] , for resection of all complex cysts in the neonatal period [5,7,9,[12][13][14][15][16] but also case reports advocating the conservative management of complex cysts [17][18][19] . There have also been suggestions that aspiration of fetal ovarian cysts will prevent ovarian loss [9-11, 20, 22] .…”
Section: Introductionmentioning
confidence: 99%
“…According to the literature estradiol values of fetal ovarian cysts exceed usually 10,000 pmol/l [10,12] . This made the diagnosis of fetal ovarian cyst less probable.…”
Section: Discussionmentioning
confidence: 98%
“…According to the literature, complications occur in 40-75% of cysts greater than 2 or 3 cm and include hemorrhage, pre-and perinatal torsion with often-subsequent loss of the ovary, or mass effects such as hydramnion, renal compression, and intestinal obstruction, in particular when they are large [7][8][9][10]12] . Therefore several authors recommend prenatal cyst aspiration, most at a cutoff diameter of 4-5 cm [7,13,14] , some even in cysts with smaller diameters [10,12] . At delivery large cysts may cause mechanical complications, such as dystocia with rupture of the cyst and peritonitis [8] .…”
Section: Discussionmentioning
confidence: 99%