Abstract
Nine girls presenting under the age of 7 years with unsustained sexual precocity are described. Large ovarian cysts were detected by ultrasound in three and laparotomy in one. In two girls the symptoms resolved after surgical removal of the cyst; the other seven had spontaneous remission of symptoms, but in two of these transient breast development and bleeding recurred: further ovarian cyst formation was found in one of these patients. Endocrine studies performed before resolution of the cysts showed raised plasma oestradiol concentrations (64 to 440 pmol/l) in three girls and no appreciable rise in plasma luteinising hormone after gonadotrophin releasing hormone stimulation in two. We conclude that ovarian cyst formation with spontaneous resolution may cause transient sexual precocity in girls, and that ultrasound examination is an effective means of diagnosing and following these patients.
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- Boyar R. M., Finkelstein J. W., David R., Roffwarg H., Kapen S., Weitzman E. D., Hellman L. Twenty-four hour patterns of plasma luteinizing hormone and follicle-stimulating hormone in sexual precocity. N Engl J Med. 1973 Aug 9;289(6):282–286. doi: 10.1056/NEJM197308092890602. [DOI] [PubMed] [Google Scholar]
- EBERLEIN W. R., BONGIOVANNI A. M., JONES I. T., YAKOVAC W. C. Ovarian tumors and cysts associated with sexual precocity. Report of 3 cases and review of the literature. J Pediatr. 1960 Sep;57:484–497. doi: 10.1016/s0022-3476(60)80257-0. [DOI] [PubMed] [Google Scholar]
- Ivarsson S. A., Nilsson K. O., Persson P. H. Ultrasonography of the pelvic organs in prepubertal and postpubertal girls. Arch Dis Child. 1983 May;58(5):352–354. doi: 10.1136/adc.58.5.352. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jakacki R. I., Kelch R. P., Sauder S. E., Lloyd J. S., Hopwood N. J., Marshall J. C. Pulsatile secretion of luteinizing hormone in children. J Clin Endocrinol Metab. 1982 Sep;55(3):453–458. doi: 10.1210/jcem-55-3-453. [DOI] [PubMed] [Google Scholar]
- POLHEMUS D. W. Ovarian maturation and cyst formation in children. Pediatrics. 1953 Jun;11(6):588–594. [PubMed] [Google Scholar]
- Reiter E. O., Kaplan S. L., Conte F. A., Grumbach M. M. Responsivity of pituitary gonadotropes to luteinizing hormone-releasing factor in idiopathic precocious puberty, precocious thelarche, precocious adrenarche, and in patients treated with medroxyprogesterone acetate. Pediatr Res. 1975 Feb;9(2):111–116. doi: 10.1203/00006450-197502000-00011. [DOI] [PubMed] [Google Scholar]
- STEINER M. M., HADAWI S. A. SEXUAL PRECOCITY. ASSOCIATION WITH FOLLICULAR CYSTS OF OVARY. Am J Dis Child. 1964 Jul;108:28–36. [PubMed] [Google Scholar]
- Savage M. O., Preece M. A., Cameron N., Jones J., Theintz G., Penfold J. L., Tanner J. M. Gonadotrophin response to LH-RH in boys with delayed growth and adolescence. Arch Dis Child. 1981 Jul;56(7):552–556. doi: 10.1136/adc.56.7.552. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Zipf W. B., Kelch R. P., Hopwood N. J., Spencer M. L., Bacon G. E. Suppressed responsiveness to gonadotropin-releasing hormone in girls with unsustained isosexual precocity. J Pediatr. 1979 Jul;95(1):38–43. doi: 10.1016/s0022-3476(79)80079-7. [DOI] [PubMed] [Google Scholar]