Prenatal evaluation and postnatal outcomes of fetal ovarian cysts

Chen, Lu; Ying, Hanjie; Hu, C.; Wen, Huaxuan

doi:10.1002/pd.5754

Cited by 16 publications

(23 citation statements)

References 26 publications

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“…This cyst grows rapidly, and it fills the entire abdominal cavity after birth. Seven simple cysts in our study resolved prenatally or postnatally, just like previous studies reported 17 . Another 5 cases that were shown to be torsion postnatally were found to have a complex ultrasound appearance in the antenatal period.…”

Section: Discussionsupporting

confidence: 83%

“…Seven simple cysts in our study resolved prenatally or postnatally, just like previous studies reported. 17 Another 5 cases that were shown to be torsion postnatally were found to have a complex ultrasound appearance in the antenatal period. This stresses the importance of prenatal and postnatal ultrasound scans to monitor changes in ovarian cysts.…”

Section: Reproductive Systemmentioning

confidence: 99%

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Fetal Abdominal Cystic Masses

Wang

Zeng

et al. 2022

J of Ultrasound Medicine

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Objectives To assess the diagnostic accuracy of prenatal ultrasound in detecting intra‐abdominal masses derived from different systems. Methods Fetuses diagnosed with abdominal cystic masses during prenatal ultrasound were included in this study. The basic biological parameters of the fetus were measured in addition to the location of the cystic mass, the shape and size of the mass, the thickness of the cystic wall, dynamic changes, blood supply of the mass, and relationship with the surrounding organs. Whether the fetus also had other malformations was also recorded. Clinical data were followed up to 6 months after birth. Results Between January 1, 2019 and January 1, 2021, 247 fetuses were included, most of which contained renal/adrenal cystic masses (n = 93, 37.7%), followed by hepatobiliary system (n = 48, 19.4%), gastrointestinal tract (n = 45, 18.2%), reproductive system (n = 29, 11.7%), and ureter and bladder (n = 27, 10.9%) masses, respectively. The minority were masses in other systems (n = 5, 2.0%). The overall prenatal diagnostic accuracy was 90.7%. There were significant differences in each system (χ2 = 13.0, P < .05). The most accurate type of cyst was diagnosed from renal and adrenal (96.8%) cases, followed by ureter and bladder (92.6%) cases, gastrointestinal tract (91.1%), hepatobiliary system (85.4%), and reproductive system (82.8%). Other systems (60.0%) were the least accurate type. Conclusions A wide variety of cystic masses can be accurately detected in the fetal abdomen, and most of these lesions can be accurately diagnosed during pregnancy.

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Section: Discussionsupporting

confidence: 83%

Section: Reproductive Systemmentioning

confidence: 99%

Fetal Abdominal Cystic Masses

Wang

Zeng

et al. 2022

J of Ultrasound Medicine

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“…In addition, cysts were divided into simple and complex cysts according to their US characteristics. 3 Anechoic, unilocular, smooth, and thin-walled cysts were defined as simple cysts. Multiloculated, thick-walled cysts containing echogenic or solid components and septa were defined as complex cysts (Figure 1).…”

Section: Methodsmentioning

confidence: 99%

“…However, theca lutein and corpus luteum cysts may rarely develop. 3 Although the risk factors are not well known, fetal ovarian cysts are more common in pregnancies that are complicated by diabetes mellitus, preeclampsia and Rh isoimmunization. 4 Fetal ovarian cysts are generally diagnosed in the third trimester.…”

Section: Introductionmentioning

confidence: 99%

Natural history of fetal ovarian cysts in the prenatal and postnatal periods

Akalın

Demirci

Dayan

et al. 2021

J of Clinical Ultrasound

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Purpose: To determine the natural history of fetal ovarian cysts and to investigate whether the prognosis can be predicted by prenatal ultrasonography (US).Methods: This retrospective study includes cases of fetal ovarian cysts diagnosed by prenatal US over a 6-year period. Cases were divided into four subgroups of cysts (small and simple, small and complex, large and simple, large and complex) according to their size and echotexture. US examinations were repeated every 2 weeks from the time of diagnosis to treatment.Results: A total of 37 cases were included in the study. 32.4% of the cases regressed spontaneously in the prenatal period and 32.4% did so in the infantile period. Prenatal resolution occurred more frequently with small cysts than with large cysts (p = 0.03). Neonates with complex cysts required surgical treatment more often than neonates with simple cysts (p = 0.009). 27.0% of the cases underwent surgery due to ovarian torsion. The torsion rate of fetal ovarian cysts that progressed in the prenatal period was significantly higher than in the case of stable cysts (p = 0.001). Conclusion:The size of the fetal ovarian cysts, their US appearance and the progression of the cysts during follow-up are the main determinants of the neonatal outcome.

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“…Los quistes ováricos son la tercera causa más importante de masas intraabdominales después de los sistemas renal y gastrointestinales, podrían confundirse con quistes genitourinarios, quistes gastrointestinales y linfangiomas (1) (2) (3). La prevalencia de quistes ováricos en recién nacidos es de 1 en 1000 nacidos vivos (4). La incidencia real no está determinada, pero puede observarse en 30 -70 % de fetos, mediante la ecografía prenatal de rutina.…”

Section: Introductionunclassified

Quiste ovárico congénito: Reporte de caso

Chávez¹,

Castillo²,

Alcocer³

et al. 2021

MedicienciasUTA

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Introducción: Los quistes ováricos son la tercera causa más importante de masas intraabdominales después de los sistemas renal y gastrointestinal. La principal preocupación ante este diagnóstico son las posibles complicaciones (torsión, rotura, hemorragia y compresión de otras vísceras) que podrían poner en riesgo la vida del feto o recién nacido. Objetivo: Describir caso clínico de un quiste ovárico congénito, encontrado en el feto a las 33.4 semanas de gestación en una paciente del Hospital PROVIDA - Latacunga. Resultados: Se presenta un caso de una paciente de 37 años, que bajo técnicas de reproducción logra embarazo. A las 33.4 semanas de gestación, se evidencia imagen hipoecoica de 46*39*46 mm de bordes regulares en fosa ovárica izquierda, se realiza seguimiento ecográfico durante periódo prenatal sin visualizar alteraciones en el sistema renal. Se decide terminar embarazo por vía alta a las 38.4 semanas por cicatriz uterina previa, se obtiene recién nacido vivo a término, femenino, en buenas condiciones generales. En ecografía postnatal se reporta quiste dependiente del parénquima ovárico izquierdo de 17*12*11 mm. Conclusión: Ante el diagnóstico de quiste ovárico congénito se debe tener una actitud conservadora, es decir, observar y dar seguimiento debido a que la mayoría pueden involucionar o reaparecer tras una intervención quirúrgica.

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Prenatal evaluation and postnatal outcomes of fetal ovarian cysts

Cited by 16 publications

References 26 publications

Fetal Abdominal Cystic Masses

Fetal Abdominal Cystic Masses

Natural history of fetal ovarian cysts in the prenatal and postnatal periods

Quiste ovárico congénito: Reporte de caso

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