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Pediatric Surgery International

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01-12-2024 | Pathology | Original Article

Thirty-eight cases of paraovarian cysts in children and adolescents: a retrospective study

Authors: Yang Zhang, Qiang Zhu, Peng Wu, Haiyan Wu, Lili He, Lichun Hua, Jun Zhou

Published in: Pediatric Surgery International | Issue 1/2024

Abstract

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.

Muolokwu E et al (2011) The incidence and surgical management of paratubal cysts in a pediatric and adolescent population, (in eng). J Pediatr Surg 46(11):2161–2163. https://doi.org/10.1016/j.jpedsurg.2011.04.054

Tzur T, Tzur Y, Baruch S, Smorgick N, Melcer Y (2022) Clinical presentation of paraovarian cysts, (in eng). Isr Med Assoc J 24(1):15–19

Fukuda T et al (2021) Massive ovarian edema with paraovarian cyst torsion treated with laparoscopic surgery: a case report, (in eng). Med Int (Lond) 1(5):17. https://doi.org/10.3892/mi.2021.17

Durairaj A, Gandhiraman K (2019) Complications and management of Paraovarian Cyst: a retrospective analysis, (in eng). J Obstet Gynaecol India 69(2):180–184. https://doi.org/10.1007/s13224-018-1152-2

Magistrado L, Dorland J, Sangi-Haghpeykar H, Patil N, Dietrich JE (2020) Paratubal Cyst recurrence in children and adolescents, (in eng). J Pediatr Adolesc Gynecol 33(6):649–651. https://doi.org/10.1016/j.jpag.2020.07.008

Anthony EY, Caserta MP, Singh J, Chen MY (2012) Adnexal masses in female pediatric patients, (in eng). AJR Am J Roentgenol 198(5):W426–W431. https://doi.org/10.2214/ajr.11.7920

Damle LF, Gomez-Lobo V (2012) Giant paraovarian cysts in young adolescents: a report of three cases, (in eng). J Reprod Med 57(1–2):65 – 7.

Alpendre F, Pedrosa I, Silva R, Batista S, Tapadinhas P (2020) Giant paratubal cyst presenting as adnexal torsion: a case report, (in eng). Case Rep Womens Health 27:e00222. https://doi.org/10.1016/j.crwh.2020.e00222

Genadry R, Parmley T, Woodruff JD (1977) The origin and clinical behavior of the parovarian tumor, (in eng), Am J Obstet Gynecol 129(8):873 – 80https://doi.org/10.1016/0002-9378(77)90520-8

10.

Qian L, Wang X, Li D, Li S, Ding J (2021) Isolated fallopian tube torsion with paraovarian cysts: a case report and literature review, (in eng), BMC Womens Health 21(1):345 https://doi.org/10.1186/s12905-021-01483-2

11.

Bhansakarya R, Subedi S (Jul 31 2020) Laparoscopic management of large right paratubal cyst: a Case Report, (in eng). JNMA J Nepal Med Assoc 58:501–504. https://doi.org/10.31729/jnma.4982

12.

Tzur T, Smorgick N, Sharon N, Pekar-Zlotin M, Maymon R, Melcer Y (Feb 2021) Adnexal torsion with paraovarian cysts in pediatric and adolescent populations: a retrospective study, (in eng). J Pediatr Surg 56(2):324–327. https://doi.org/10.1016/j.jpedsurg.2020.05.023

13.

Resapu P, Rao Gundabattula S, Bharathi Bayyarapu V, Pochiraju M, Surampudi K, Dasari S (Apr 2019) Adnexal torsion in symptomatic women: a single-centre retrospective study of diagnosis and management, (in eng). J Obstet Gynaecol 39(3):349–354. https://doi.org/10.1080/01443615.2018.1494702

14.

Bohîlțea RE, Cîrstoiu MM, Turcan N, Ionescu CA (2016) Ultrasound diagnostic of mesonephric paraovarian cyst - case report, (in eng). J Med Life 9(3):280–283

15.

Stefanopol IA et al (2022) Clinical, imaging, histological and Surgical aspects regarding Giant Paraovarian cysts: a systematic review, (in eng). Ther Clin Risk Manag 18:513–522. https://doi.org/10.2147/tcrm.S361476CrossRefPubMedPubMedCentral

16.

De Sanctis V et al (2017) An adolescent with an asymptomatic adnexal cyst: to worry or not to worry? Medical versus surgical management options, (in eng). Acta Biomed 88(2):232–236 https://doi.org/10.23750/abm.v88i2.6050

17.

Kiseli M, Caglar GS, Cengiz SD, Karadag D, Yılmaz MB (2012) Clinical diagnosis and complications of paratubal cysts: review of the literature and report of uncommon presentations, (in eng), Arch Gynecol Obstet 285(6):1563– https://doi.org/10.1007/s00404-012-2304-8

18.

Caprio MG et al (2019) Ultrasonographic and multimodal imaging of pediatric genital female diseases, (in eng). J Ultrasound 22(3):273–289. https://doi.org/10.1007/s40477-019-00358-5

19.

Sasaki KJ, Miller CE (2014) Adnexal torsion: review of the literature, (in eng). J Minim Invasive Gynecol 21(2):196–202. https://doi.org/10.1016/j.jmig.2013.09.010

20.

Schallert EK, Abbas PI, Mehollin-Ray AR, Price MC, Dietrich JE, Orth RC (2019) Physiologic Ovarian Cysts versus Other Ovarian and Adnexal Pathologic Changes in the Preadolescent and Adolescent Population: US and Surgical Follow-up, (in eng), Radiology 292(1):172–178 https://doi.org/10.1148/radiol.2019182563

21.

Luthra M, Kumar C (2021) Surgical Management of Adnexal Masses in the Pediatric and adolescent Age Group: our experience, (in eng). J Indian Assoc Pediatr Surg 26(5):287–293. https://doi.org/10.4103/jiaps.JIAPS_136_20

22.

Spinelli C et al (2023) Ovarian torsion in the pediatric population: predictive factors for ovarian-sparing surgery-an international retrospective multicenter study and a systematic review, (in eng), Arch Gynecol Obstet 308(1):1–12 https://doi.org/10.1007/s00404-022-06522-3

23.

Nguyen KP, Valentino WL, Bui D, Milestone H (2022) Ovarian Torsion: Presentation and Management in a Pediatric Patient, (in eng), Case Rep Obstet Gynecol 2022:9419963 https://doi.org/10.1155/2022/9419963

24.

Braungart S et al (2022) Standardizing the surgical management of benign ovarian tumors in children and adolescents: A best practice Delphi consensus statement, (in eng), Pediatr Blood Cancer 69(4):e29589 https://doi.org/10.1002/pbc.29589

Title: Thirty-eight cases of paraovarian cysts in children and adolescents: a retrospective study
Authors: Yang Zhang
Qiang Zhu
Peng Wu
Haiyan Wu
Lili He
Lichun Hua
Jun Zhou
Publication date: 01-12-2024
Publisher: Springer Berlin Heidelberg
Keyword: Pathology
Published in: Pediatric Surgery International / Issue 1/2024
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-024-05656-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Thirty-eight cases of paraovarian cysts in children and adolescents: a retrospective study

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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