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Fetal ovarian cysts: development and neonatal outcome
C Mittermayer1, W Blaicher, D Grassauer
1Department of Obstetrics and Gynaecology, Division of Prenatal Diagnosis and Therapy, University Hospital of Vienna, Austria. christoph-mittermayer@gyn.akh.magwien.gv.at
Ultraschall in Der Medizin (Stuttgart, Germany : 1980)
|February 25, 2003
Summary
Fetal ovarian cysts larger than 5 cm, especially complicated ones, often require intervention. Uncomplicated cysts smaller than 5 cm typically resolve spontaneously and may not need treatment.
Area of Science:
- Fetal Medicine
- Pediatric Surgery
- Gynecologic Oncology
Background:
- Prenatal diagnosis of ovarian cysts is crucial for management.
- Understanding cyst characteristics aids in predicting outcomes.
Purpose of the Study:
- To evaluate fetal ovarian cyst outcomes.
- To correlate outcomes with cyst size and sonographic appearance.
Main Methods:
- Retrospective analysis of 61 infants with prenatal ovarian cyst diagnosis.
- Review of pre- and postnatal charts and ultrasound findings.
Main Results:
- 65 ovarian cysts detected in 61 fetuses; 17 required treatment.
- Mean diameter of treated cysts (6.8 cm) significantly larger than spontaneously resolved cysts (3.3 cm).
- Histology revealed follicular/theca lutein cysts, lymphangioma, and teratoma.
Conclusions:
- Complicated cysts needing intervention should be treated postnatally.
- Uncomplicated cysts >5 cm may benefit from aspiration; smaller, regressing cysts can be monitored.