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[Ovarian cysts in childhood]
C Jiménez Alvarez1, R Núñez Núñez, R Cabrera
1Hospital General de Especialidades Virgen de las Nieves, Granada.
Insights
Ovarian cysts in females present distinct characteristics based on age, influencing treatment decisions. Key indicators for surgery include unresolved symptoms and large, complicated cysts.
Area of Science:
- Gynecology
- Pediatric Surgery
- Diagnostic Imaging
Context:
- Ovarian cysts are common in females across all age groups, from newborns to post-menarchal individuals.
- Clinical presentation and management vary significantly based on patient age and cyst characteristics.
- Prenatal diagnosis via sonography is possible for congenital ovarian cysts.
Purpose:
- To describe the characteristics of ovarian cysts in pediatric and adolescent females.
- To identify factors influencing the treatment of ovarian cysts.
- To correlate clinical presentation, imaging findings, and pathological results with management strategies.
Summary:
- A descriptive study analyzed 41 female patients (10 newborn, 14 prepubertal, 17 post-menarchal) with ovarian cysts.
- Abdominal pain was the predominant symptom; 22 patients presented with an abdominal mass, and 11 with signs of acute abdomen.
- Ovarian torsion was suspected in 16 patients and confirmed in 11. Surgical intervention was performed in 36 patients, while 4 underwent puncture and evacuation, and 7 were managed expectantly.
- Follicular, dermoid, and hemorrhagic cysts were the most common types identified.
Impact:
- Understanding age-specific cyst characteristics aids in timely diagnosis and appropriate treatment selection.
- This study highlights the importance of clinical presentation and ultrasonographic findings in guiding management decisions for ovarian cysts.
- Effective management strategies, including surgery, cyst evacuation, or observation, can prevent recurrence and complications.
Abstract:
It's perform a descriptive study about a series of events with the purpose of discover the own characteristics of ovarian cysts and which characteristics determine its treatment. In the 41 patients (10 newborn, 14 prepubertal females and 17 post-menarchal females) we analyzed their symptoms, pathological findings, ecographics details, treatment, diagnostic and follow-up. The predominant symptom has been the abdominal pain (18 patients). In 8 newborn the cyst was find before born by prenatal sonography. The cyst was palped like abdominal mass in 22 patients and it was like a picture of acute abdomen in 11. It was found in the right ovary in 24 patients and bilaterally in 7. By pelvic ultrasonography was observed a superior size of 5 cm of diameter in 28 occasions, in 17 there were imagine of complex and in 3 there were hemorrhagic. In 16 patients the suspicion diagnostic was of torsion and in 5 of appendicitis. The torsion was confirmed in 11. In 16 patients it was a follicular cyst, in 9 was a dermoidal and in 9 hemorrhagic. Was realized a surgical treatment (cystectomy or ooforectomy in 36 girls, in 4 was realized a puncture and evacuation (bigger of 5 cm with clear liquid) and in 7 was hope the spontaneous evolution (clear liquid and infer size of 5 cm). There were not relapses. The clinic manifestations are presents with own characteristics depending of the cyst affected to newborn, premenarchal or menarchal females. The indications of surgery are: symptoms which are not resolved after a observation time (24-49 hours) and cysts of big volume associated a complications.(ABSTRACT TRUNCATED AT 250 WORDS)