Clinical Experiences of Fetal Ovarian Cyst: Diagnosis and Consequence.
10.3346/jkms.2006.21.4.690
- Author:
Dong Wook KWAK
1
;
Yong Seok SOHN
;
Sei Kwang KIM
;
In Kyu KIM
;
Yong Won PARK
;
Young Han KIM
Author Information
1. Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea. yhkim522@yumc.yonsei.ac.kr
- Publication Type:Original Article
- Keywords:
Ovarian Cysts;
Ultrasonography, Prenatal;
Abnormalities
- MeSH:
Ultrasonography, Prenatal/*methods;
Remission, Spontaneous;
Pregnancy;
Ovariectomy/methods;
Ovarian Cysts/*diagnosis/surgery;
Infant, Newborn;
Infant;
Humans;
Gestational Age;
Fetal Diseases/*diagnosis/surgery;
Female
- From:Journal of Korean Medical Science
2006;21(4):690-694
- CountryRepublic of Korea
- Language:English
-
Abstract:
Ovarian cysts are the most frequent, prenatally diagnosed intra-abdominal cysts. Fetal ovarian cyst often presents complication such as torsion and seems to be an indication for surgical intervention. In this study, we reviewed pre- and post-natal medical records and ultrasonography of 17 fetuses that were diagnosed with ovarian cysts. In a total of 17 cases, postnatal surgery was performed in 7 infants. Of these cases, four cases of ovarian cyst torsion were confirmed. In the remaining 10 fetuses, one case regressed completely during pregnancy, and the other nine cases including two complex cysts resolve spontaneously after birth. Postnatal symptomatic cysts or cysts with a diameter greater than 5 cm that do not regress or enlarge should be treated, but uncomplicated asymptomatic cysts less than 5 cm in diameter should only be observed and reassessed by serial ultrasonography. If they regress spon-taneously, no surgical intervention is necessary independent of their sonographic findings.
