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Thirty-eight cases of paraovarian cysts in children and adolescents: a retrospective study
Yang Zhang1, Qiang Zhu1, Peng Wu1
1Department of General Surgery, Children's Hospital of Nanjing Medical University, Nanjing, Jiangsu, China.
Insights
Diagnosing paraovarian cysts in pediatric patients is challenging. This study highlights key clinical features and diagnostic aids, like B-ultrasound, for accurate paraovarian cyst identification and management in children and adolescents.
Area of Science:
- Pediatric Gynecology
- Surgical Oncology
Background:
- Paraovarian cysts are common adnexal masses in pediatric patients.
- Accurate pre-operative diagnosis of paraovarian cysts in children and adolescents remains a clinical challenge.
Purpose of the Study:
- To delineate the clinical characteristics of paraovarian cysts in pediatric and adolescent populations.
- To improve the diagnostic accuracy of paraovarian cysts in this age group.
Main Methods:
- Retrospective analysis of pediatric patients who underwent surgery for paraovarian cysts between 2013 and 2021.
- Evaluation of demographic data, clinical presentation, intraoperative findings, and histopathological results.
Main Results:
- The study included 38 pediatric patients with paraovarian cysts (average diameter 4.8 cm).
- Adnexal torsion was observed in 65.8% of cases, correlating with cyst size rather than BMI.
- Histopathology confirmed simple cysts with serous fluid; no recurrence was noted during follow-up (12-108 months).
Conclusions:
- B-ultrasound aids in diagnosing paraovarian cysts by detecting subtle cyst-uterus movement.
- Adnexal torsion risk in pediatric patients with paraovarian cysts is primarily linked to cyst size.
- Laparoscopic cystectomy is an effective treatment with favorable outcomes.
Purpose:
Paraovarian cysts in children and adolescents can be challenging to accurately diagnose prior to surgery. Our objective is to outline the clinical characteristics of paraovarian cysts and enhance the precision of diagnosing paraovarian cysts in this age group.
Methods:
We retrospectively analyzed all patients with paraovarian cysts who underwent surgery in our department from 2013 to 2021. The review focused on demographic characteristics, clinical manifestations, intraoperative findings, and postoperative pathology of these patients.
Results:
This cohort was composed of 38 children with paraovarian cysts. The average diameter of the cysts was 4.8 cm (range 0.5-10 cm). Among the cases, 25 (65.8%) had adnexal torsion. Postoperative pathology showed that all cases were simple cysts with serous fluid. After the procedure, the patients were monitored for a period ranging from 12 to 108 months. B-ultrasound and physical examination did not reveal any significant abnormalities.
Conclusions:
B-ultrasound can help diagnose paraovarian cysts by detecting slight deviation movement between the cyst and the uterus. The presence of adnexa torsion in children and adolescents with paraovarian cysts does not depend on BMI, but rather on the size of cysts. Laparoscopic cyst removal has proven to be an effective surgical approach with favorable outcomes.
