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Managing Fetal Ovarian Cysts: Clinical Experience with a Rare Disorder
Background and Objectives: Fetal ovarian cysts (FOCs) are a very rare pathology that can be associated with maternal–fetal and neonatal complications. The aim of this study was to assess the influence of ultrasound characteristics on FOC evolution and therapeutic management. Materials and Methods: W...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10145213/ https://www.ncbi.nlm.nih.gov/pubmed/37109673 http://dx.doi.org/10.3390/medicina59040715 |
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author | Melinte-Popescu, Alina-Sinziana Popa, Radu-Florin Harabor, Valeriu Nechita, Aurel Harabor, AnaMaria Adam, Ana-Maria Vasilache, Ingrid-Andrada Melinte-Popescu, Marian Vaduva, Cristian Socolov, Demetra |
author_facet | Melinte-Popescu, Alina-Sinziana Popa, Radu-Florin Harabor, Valeriu Nechita, Aurel Harabor, AnaMaria Adam, Ana-Maria Vasilache, Ingrid-Andrada Melinte-Popescu, Marian Vaduva, Cristian Socolov, Demetra |
author_sort | Melinte-Popescu, Alina-Sinziana |
collection | PubMed |
description | Background and Objectives: Fetal ovarian cysts (FOCs) are a very rare pathology that can be associated with maternal–fetal and neonatal complications. The aim of this study was to assess the influence of ultrasound characteristics on FOC evolution and therapeutic management. Materials and Methods: We included cases admitted to our perinatal tertiary center between August 2016 and December 2022 with a prenatal or postnatal ultrasound evaluation indicative of FOC. We retrospectively analyzed the pre- and postnatal medical records, sonographic findings, operation protocols, and pathology reports. Results: This study investigated 20 cases of FOCs, of which 17 (85%) were diagnosed prenatally and 3 (15%) postnatally. The mean size of prenatally diagnosed ovarian cysts was 34.64 ± 12.53 mm for simple ovarian cysts and 55.16 ± 21.01 mm for complex ovarian cysts (p = 0.01). The simple FOCs ≤ 4 cm underwent resorption (n = 7, 70%) or size reduction (n = 3, 30%) without complications. Only 1 simple FOC greater than 4 cm reduced its size during follow-up, while 2 cases (66.6%) were complicated with ovarian torsion. Complex ovarian cysts diagnosed prenatally underwent resorption in only 1 case (25%), reduced in size in 1 case (25%), and were complicated with ovarian torsion in 2 cases (50%). Moreover, 2 simple (66.6%) and 1 complex (33.3%) fetal ovarian cysts were postnatally diagnosed. All of these simple ovarian cysts had a maximum diameter of ≤4 cm, and all of them underwent size reduction. The complex ovarian cyst of 4 cm underwent resorption during follow-up. Conclusions: Symptomatic neonatal ovarian cysts, as well as those that grow in size during sonographic follow-up, are in danger of ovarian torsion and should be operated on. Complex cysts and large cysts (with >4 cm diameter) could be followed up unless they become symptomatic or increase in dimensions during serial ultrasounds. |
format | Online Article Text |
id | pubmed-10145213 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-101452132023-04-29 Managing Fetal Ovarian Cysts: Clinical Experience with a Rare Disorder Melinte-Popescu, Alina-Sinziana Popa, Radu-Florin Harabor, Valeriu Nechita, Aurel Harabor, AnaMaria Adam, Ana-Maria Vasilache, Ingrid-Andrada Melinte-Popescu, Marian Vaduva, Cristian Socolov, Demetra Medicina (Kaunas) Article Background and Objectives: Fetal ovarian cysts (FOCs) are a very rare pathology that can be associated with maternal–fetal and neonatal complications. The aim of this study was to assess the influence of ultrasound characteristics on FOC evolution and therapeutic management. Materials and Methods: We included cases admitted to our perinatal tertiary center between August 2016 and December 2022 with a prenatal or postnatal ultrasound evaluation indicative of FOC. We retrospectively analyzed the pre- and postnatal medical records, sonographic findings, operation protocols, and pathology reports. Results: This study investigated 20 cases of FOCs, of which 17 (85%) were diagnosed prenatally and 3 (15%) postnatally. The mean size of prenatally diagnosed ovarian cysts was 34.64 ± 12.53 mm for simple ovarian cysts and 55.16 ± 21.01 mm for complex ovarian cysts (p = 0.01). The simple FOCs ≤ 4 cm underwent resorption (n = 7, 70%) or size reduction (n = 3, 30%) without complications. Only 1 simple FOC greater than 4 cm reduced its size during follow-up, while 2 cases (66.6%) were complicated with ovarian torsion. Complex ovarian cysts diagnosed prenatally underwent resorption in only 1 case (25%), reduced in size in 1 case (25%), and were complicated with ovarian torsion in 2 cases (50%). Moreover, 2 simple (66.6%) and 1 complex (33.3%) fetal ovarian cysts were postnatally diagnosed. All of these simple ovarian cysts had a maximum diameter of ≤4 cm, and all of them underwent size reduction. The complex ovarian cyst of 4 cm underwent resorption during follow-up. Conclusions: Symptomatic neonatal ovarian cysts, as well as those that grow in size during sonographic follow-up, are in danger of ovarian torsion and should be operated on. Complex cysts and large cysts (with >4 cm diameter) could be followed up unless they become symptomatic or increase in dimensions during serial ultrasounds. MDPI 2023-04-06 /pmc/articles/PMC10145213/ /pubmed/37109673 http://dx.doi.org/10.3390/medicina59040715 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Melinte-Popescu, Alina-Sinziana Popa, Radu-Florin Harabor, Valeriu Nechita, Aurel Harabor, AnaMaria Adam, Ana-Maria Vasilache, Ingrid-Andrada Melinte-Popescu, Marian Vaduva, Cristian Socolov, Demetra Managing Fetal Ovarian Cysts: Clinical Experience with a Rare Disorder |
title | Managing Fetal Ovarian Cysts: Clinical Experience with a Rare Disorder |
title_full | Managing Fetal Ovarian Cysts: Clinical Experience with a Rare Disorder |
title_fullStr | Managing Fetal Ovarian Cysts: Clinical Experience with a Rare Disorder |
title_full_unstemmed | Managing Fetal Ovarian Cysts: Clinical Experience with a Rare Disorder |
title_short | Managing Fetal Ovarian Cysts: Clinical Experience with a Rare Disorder |
title_sort | managing fetal ovarian cysts: clinical experience with a rare disorder |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10145213/ https://www.ncbi.nlm.nih.gov/pubmed/37109673 http://dx.doi.org/10.3390/medicina59040715 |
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