The prognostic value of antenatal ultrasound in cases complicated by fetal ovarian cysts

Signorelli, M.; Gregorini, M.; Platto, C.; Orabona, Rossana; Zambelloni, Cesare; Torri, Fabio; Franceschetti, Laura; Gambino, Angela; Sartori, Enrico

doi:10.3233/npm-1870

Cited by 10 publications

(9 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…21 Similarly, Marino et al found that larger (defined as >47 mm of maximum diameter) and more echoic cysts were more likely to require surgery after birth. 22 In our cohort the cysts were classified as large (≥40 mm) or small (<40 mm) to facilitate perinatal management in our fetal medicine center. We performed surgical treatment on 17.6% (18/102) of prenataly diagnosed ovarian cysts.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Prenatal evaluation and postnatal outcomes of fetal ovarian cysts

Chen

Ying

et al. 2020

Prenatal Diagnosis

View full text Add to dashboard Cite

To evaluate the natural history and outcome of cases of fetal ovarian cyst under conservative prenatal treatment. A retrospective cohort study included patients diagnosed with fetal ovarian cysts was conducted between January 2008 to December 2016. Data including clinical data, sonographic feature and postnatal outcomes were obtained. One hundred and two cases were included for statistical analysis. The rate of spontaneous resolution was significantly higher among cases with simple than complex cysts (70/92 or 76.1% vs 2/10 or 20%, P < .01) and for cysts <4 cm than cysts ≥4 cm (50/56 or 89.3% vs 22/46 or 47.8%, P < .01). Ovarian torsion was confirmed in 5/102 (4.9%) cases; neither prenatal characteristics of cysts (complex: 2/10 or 20% vs simple: 3/92 or 3.3%, P = .07), nor their size (≥40 mm: 4/46 or 8.7% vs < 40 mm: 1/56 or 1.8%, P = .17) was predictive for ovarian torsion. 25/102 (24.5%) of cysts change in size or sonographic characteristics prenatally. Half of the complex cysts at the last prenatal scan are not ovarian in origin. 98/102 neonates (96.1%) were able to preserve both ovaries. Spontaneous resolution of ovarian cysts is predicted by cyst size and characteristics, whereas likelihood of torsion cannot be predicted.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Some authors advocate conservative approach to complex ovarian cysts, 14,15,[18][19][20][21] while others suggest surgical treatment. 2,22,23 Complex cysts have been reported to be strongly associated with presence of torsion requiring surgical removal of the ovary. 2,23 Despite regression of ovarian cysts.…”

Section: Discussionmentioning

confidence: 99%

Prenatal evaluation and postnatal outcomes of fetal ovarian cysts

Chen

Ying

et al. 2020

Prenatal Diagnosis

View full text Add to dashboard Cite

show abstract

“…A este respecto se ha informado que los QO mayores de 5 cm de diámetro tienen un riesgo mucho mayor de complicaciones, y el 85% requerirá de ooforectomía 13 . Sin embargo, también se ha demostrado que quistes menores de 5 cm de tamaño también pueden asociarse con torsión [14][15][16][17] .…”

Section: Discussionunclassified

Cistoadenoma ovárico bilateral neonatal, ¿tratamiento conservador o quirúrgico?

et al. 2022

View full text Add to dashboard Cite

Los quistes ováricos complejos bilaterales en los recién nacidos son poco frecuentes y su reporte resulta de gran importancia para el conocimiento sobre el mejor manejo terapéutico.Objetivo: Describir el caso clínico de una recién nacida con diagnóstico de quistes ováricos complejos bilaterales y discutir las condiciones para el manejo conservador o quirúrgico según las características ecográficas del quiste.Caso Clínico: A las 35 semanas de edad gestacional se identificó mediante ultrasonido prenatal la presencia de masas quísticas en ambos anexos por lo que se decidió interrupción del embarazo por cesárea en la semana 37. Posterior al nacimiento, se corroboró la presencia de quistes ováricos bilaterales de 3,5 x 4,4 x 2,7 y 3,4 x 2,4 x 3,3 cm, derecho e izquierdo, respectivamente. El derecho con tabique de 1,4 mm y pared engrosada de 3 mm, hallazgos compatibles con quistes complejos. Al cuarto día de vida extrauterina se realizó aspiración evacuadora y destechamiento de la pared superior de ambos quistes con electrocauterio por vía laparoscópica, sin complicaciones. Se realizó el diagnóstico por anatomía patológica de cistoadenoma seroso de ovario.Conclusiones: Describimos un caso con adecuado diagnóstico prenatal e intervención quirúrgica laparoscópica exitosa de quiste ovárico bilateral > 4 cm. El diagnóstico prenatal es fundamental para un abordaje oportuno, según las características ecográficas del quiste: conservador o quirúrgico. Se recomienda la intervención quirúrgica neonatal en quistes de ovario simples > 4 cm, quistes complejos independientemente de su tamaño y aquellos que durante el manejo conservador evolucionen a quistes complejos.

show abstract

“…The underlying causes for such changes include intracystic hemorrhage and torsion of the ovary. 14 In such a case, the cyst becomes heterogeneous and contains septa. As a result of sedimentation, a fluid-debris level may change with the fetal position.…”

Section: Discussionmentioning

confidence: 99%

“…As a result of sedimentation, a fluid-debris level may change with the fetal position. 7,14 Torsion is probably the most serious complication of fetal ovarian cyst. In our study, 27% of the cases had torsion.…”

Section: Discussionmentioning

confidence: 99%

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

Akalın

Demirci

Dayan

et al. 2021

J of Clinical Ultrasound

View full text Add to dashboard Cite

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.

show abstract

The prognostic value of antenatal ultrasound in cases complicated by fetal ovarian cysts

Cited by 10 publications

References 14 publications

Prenatal evaluation and postnatal outcomes of fetal ovarian cysts

Prenatal evaluation and postnatal outcomes of fetal ovarian cysts

Cistoadenoma ovárico bilateral neonatal, ¿tratamiento conservador o quirúrgico?

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

Contact Info

Product

Resources

About