Neonatal ovarian cysts: therapeutic dilemma. Issue 7 (July 1988)

• Record Type: Journal Article
• Authors: Widdowson, D J; Pilling, D W; Cook, R C
• Is Part Of: Archives of disease in childhood. Volume 63:Issue 7(1988)Spec No
• Page Start: 737
• Page End: 742
• Publication Date: 1988-07
• Subjects: Children -- Diseases -- Periodicals; Infants -- Diseases -- Periodicals; 618.920005
• DOI: 10.1136/adc.63.7_Spec_No.737
• Languages: English
• ISSNs: 0003-9888

Abstract

Abstract : Seven cases of neonatal ovarian cysts that presented over the past seven years were studied. Complications included torsion and rupture and usually occurred in cysts more than 5 cm in diameter. Surgical removal, either oophorectomy or cystectomy, was the treatment of choice. Because even cystectomy results in loss of normal ovarian tissue, and because spontaneous regression of cysts less than 5 cm in diameter can occur, a more conservative approach is now proposed. Regular ultrasonography alone is recommended if the cysts are less than 5 cm in diameter, and aspiration of the cysts followed by regular ultrasonographs if the cysts are more than 5 cm in diameter. Operation should be reserved for recurrent cysts or for those with complications. Cysts diagnosed antenatally may be aspirated in utero if there are signs of thoracic compression.