Follow-up of Neonatal Ovarian Cysts. A Retrospective Cross-sectional Study

Autor: Salih Çetinkurşun, Ahmet Ali Tuncer, Betul Zengin, Didem Baskin Embleton, Ahmet Afşin Kundak, Evrim Ozkaraca Boyaci
Rok vydání: 2019
Předmět:
Zdroj: Ķazaķstannyṇ Klinikalyķ Medicinasy, Vol 3, Iss 53, Pp 38-41 (2019)
ISSN: 2313-1519
1812-2892
DOI: 10.23950/1812-2892-jcmk-00695
Popis: Objective:This study was planned to see the results of follow-up of ovarian cysts in newborn patients at a university hospital. Methods:Newborns with ovarian cysts that were diagnosed by US between 2010 and 2018 were retrospectively evaluated. US follow-up was performed in 2 to 3 month periods. Initial largest diameter of the ovarian cyst, number of cysts, bilateral or unilateral localization, if the cyst is complex or simple, alpha fetoprotein and β-HCG levels, if operated the type of the operation and pathology results were retrieved. Results:Nineteen patients were included. Seven patients had ovarian cysts ≥20 mm and 5 were complex cysts. Two of 5 complex cysts were operated for abdominal mass and ovarian torsion was diagnosed. Other 3 complex cysts are having a conservative treatment due to lack of any clinical symptoms. All regressed in size. All simple cysts had non-operative management and regressed in size during follow-up. AFP levels were high in all. Control AFP levels decreased in all patients. Conclusion:Conservative management seems appropriate for patients both with complex or simple cysts, because nearly all cysts were regressed and both ovaries persisted during follow-up. Surgical decision was the clinical presence of a mass in complex cysts. This is a small series and follow-up is short to make a final decision for management. A consensus is needed among the surgeons about the treatment options after discussing the complications related to conservative and surgical approaches of complex ovarian cysts.
Databáze: OpenAIRE
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