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Ovarian cysts in the fetus and neonate—changes in sonographic pattern in the follow-up and their management

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Abstract

In a multicenter trial we retrospectively evaluated the clinical and sonographic data of 49 neonatal ovarian cysts, 44 of which were detected prenatally and 5 on the first day after delivery. Of the 44 prenatally detected cysts 39 were purely cystic, 5 echogenic or had a mixed pattern. In 20 patients the cystic appearance changed during delivery from purely cystic to a mixed pattern being independent on the size of the cyst. 26 of the 44 cysts were treated surgically. Salpingotorsion was found in 8 and was independent on the size of the cyst. In 15 a salpingo-oophorectomy or oophorectomy was performed, in 11 the ovary was saved. 23 patients were followed sonographically: 15 cysts showed complete resolution within 14 months without correlation to the sonographic pattern. The volume of these cysts varied between 5 and 71 ml. Neonatal ovarian cysts disappear spontaneously frequently and rarely cause severe symptoms. The authors recommend follow-up by ultrasound as the primary modality. Surgical intervention is recommended only if the cyst is space-occupying and percutaneous puncture can not be performed or in the case of emergency.

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Abbreviations

+/−:

increasing/decreasing of volume of the cyst

?:

no classification of the ovarian cyst possible

com:

complex echogenity

cys:

cystic

diff. 1:

differences in volume between pre- and postnatal ultrasound

diff.2:

differences in volume between postnatal ultrasound and operative measurement

echo:

sonographic morphology

foll:

follicle cyst

ga/w:

gestational age in weeks

hem:

cyst filled with blood

hom:

homogenous echogenity

intra:

intrauterin

n. d.:

no data available

pct:

puncture

post:

postnatal diagnosis

pre:

prenatal diagnosis

regr:

regression

sep:

septated

sl:

suldge

sol:

no cystic areas

tors:

salpingotorsion

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Authors and Affiliations

  1. Institute of Diagnostic Radiology, RWTH-University of Technology, Pauwelsstrasse 30, W-5100, Aachen, FRG

    C. Müller-Leisse & K. Paulussen

  2. Department of Diagnostic Radiology, University of Münster, FRG

    U. Bick

  3. Department of Pediatric Radiology, University of Heidelberg, FRG

    J. Tröger

  4. Department of Pediatric Surgery, University of Heidelberg, FRG

    Z. Zachariou

  5. Department of Gynecology, University of Münster, FRG

    W. Holzgreve

  6. Department of Pediatric Radiology, University of Mainz, FRG

    R. Schuhmacher

  7. Department of Pediatrics, University of Würzburg, FRG

    A. Horvitz

Authors
  1. C. Müller-Leisse
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  2. U. Bick
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  3. K. Paulussen
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  4. J. Tröger
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  5. Z. Zachariou
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  6. W. Holzgreve
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  7. R. Schuhmacher
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  8. A. Horvitz
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Müller-Leisse, C., Bick, U., Paulussen, K. et al. Ovarian cysts in the fetus and neonate—changes in sonographic pattern in the follow-up and their management. Pediatr Radiol 22, 395–400 (1992). https://doi.org/10.1007/BF02013494

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  • DOI: https://doi.org/10.1007/BF02013494

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