Skip to main content
NCBI home page
Archives of Disease in Childhood logoLink to Archives of Disease in Childhood
. 1988 Jul;63(7 Spec No):737–742. doi: 10.1136/adc.63.7_spec_no.737

Neonatal ovarian cysts: therapeutic dilemma.

D J Widdowson 1, D W Pilling 1, R C Cook 1
PMCID: PMC1590131  PMID: 3046508

Abstract

Seven cases of neonatal ovarian cysts that presented over the past seven years were studied. Complications included torsion and rupture and usually occurred in cysts more than 5 cm in diameter. Surgical removal, either oophorectomy or cystectomy, was the treatment of choice. Because even cystectomy results in loss of normal ovarian tissue, and because spontaneous regression of cysts less than 5 cm in diameter can occur, a more conservative approach is now proposed. Regular ultrasonography alone is recommended if the cysts are less than 5 cm in diameter, and aspiration of the cysts followed by regular ultrasonographs if the cysts are more than 5 cm in diameter. Operation should be reserved for recurrent cysts or for those with complications. Cysts diagnosed antenatally may be aspirated in utero if there are signs of thoracic compression.

Full text

PDF
737

Images in this article

738Fig 1a
on p.738
738Fig 1b
on p.738
739Fig 2
on p.739

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. AHLVIN R. C., BAUER W. C. Luteinized cysts in ovaries of infants born of diabetic mothers. AMA J Dis Child. 1957 Feb;93(2):107–109. doi: 10.1001/archpedi.1957.02060040109001. [DOI] [PubMed] [Google Scholar]
  2. Alvear D. T., Rayfield M. M. Bilateral ovarian cysts in early infancy. J Pediatr Surg. 1976 Dec;11(6):993–995. doi: 10.1016/s0022-3468(76)80079-6. [DOI] [PubMed] [Google Scholar]
  3. Avni E. F., Godart S., Israel C., Schmitz C. Ovarian torsion cyst presenting as a wandering tumor in a newborn: antenatal diagnosis and post natal assessment. Pediatr Radiol. 1983;13(3):169–171. doi: 10.1007/BF01624410. [DOI] [PubMed] [Google Scholar]
  4. Bower R., Dehner L. P., Ternberg J. L. Bilateral ovarian cysts in the newborn: a triad of neonatal abdominal masses, polyhydramnios, and material diabetes mellitus. Am J Dis Child. 1974 Nov;128(5):731–733. doi: 10.1001/archpedi.1974.02110300141022. [DOI] [PubMed] [Google Scholar]
  5. CURTIS E. M. Normal ovarian histology in infancy and childhood. Obstet Gynecol. 1962 Apr;19:444–454. [PubMed] [Google Scholar]
  6. Diver M. J., Nisbet J. A. Warning on plasma oestradiol measurement. Lancet. 1987 Nov 7;2(8567):1097–1097. doi: 10.1016/s0140-6736(87)91534-0. [DOI] [PubMed] [Google Scholar]
  7. KRAUS F. T., NEUBECKER R. D. Luteinization of the ovarian theca in infants and children. Am J Clin Pathol. 1962 Apr;37:389–397. doi: 10.1093/ajcp/37.4.389. [DOI] [PubMed] [Google Scholar]
  8. MARSHALL J. R. OVARIAN ENLARGEMENTS IN THE FIRST YEAR OF LIFE: REVIEW OF 45 CASES. Ann Surg. 1965 Mar;161:372–377. doi: 10.1097/00000658-196503000-00009. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Montagne J. P., Neuenschwander S., Prot D., Cordier M. D. Solitary intraperitoneal cystic lesions in newborn girls: ten cases studied by ultrasound. Ann Radiol (Paris) 1982 Feb;25(2):131–135. [PubMed] [Google Scholar]
  10. Naeye R. L., Milic A. M., Blanc W. Fetal endocrine and renal disorders: clues to the origin of hydramnios. Am J Obstet Gynecol. 1970 Dec 15;108(8):1251–1256. doi: 10.1016/0002-9378(70)90101-8. [DOI] [PubMed] [Google Scholar]
  11. Nussbaum A. R., Sanders R. C., Benator R. M., Haller J. A., Jr, Dudgeon D. L. Spontaneous resolution of neonatal ovarian cysts. AJR Am J Roentgenol. 1987 Jan;148(1):175–176. doi: 10.2214/ajr.148.1.175. [DOI] [PubMed] [Google Scholar]
  12. Winter J. S., Hughes I. A., Reyes F. I., Faiman C. Pituitary-gonadal relations in infancy: 2. Patterns of serum gonadal steroid concentrations in man from birth to two years of age. J Clin Endocrinol Metab. 1976 Apr;42(4):679–686. doi: 10.1210/jcem-42-4-679. [DOI] [PubMed] [Google Scholar]
  13. deSa D. J. Follicular ovarian cysts in stillbirths and neonates. Arch Dis Child. 1975 Jan;50(1):45–50. doi: 10.1136/adc.50.1.45. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Archives of Disease in Childhood are provided here courtesy of BMJ Publishing Group

RESOURCES