Prenatal Diagnosis and Postnatal Outcome of Fetal Ovarian Cysts

AMAÇ: Bu çalışmanın amacı ovaryan kist olan fetuslarda ultrasonografik özellikleri, klinik karakteristikleri ve neonatal sonuçları incelemektir. GEREÇ VE YÖNTEM: Fetal ovaryan kist saptanmış dokuz olguya ait antenatal ultrasonografi, klinik seyir ve postnatal sonuçlara dair veriler geriye dönük olarak değerlendirildi. BULGULAR: Antenatal olarak dokuz hastada fetal ovaryan kist saptandı. Tanı ortalama 30-36 gebelik haftaları arasında konuldu. Bir vakada (1/9, %11) ek anomali saptandı (çift toplayıcı sistem). Tüm vakalarda kistler tek taraflıydı. Bir vakada dev ovaryan kist bası semptomları nedeniyle antenatal aspirasyon ile boşaltıldı. İki vaka ovaryan torsiyon tanısıyla postnatal opere edildi (2/9, %22,2). Bir vakada postnatal kısmi gerileyen tekrarlayan kist izlendi. Bir vaka doğumdan önce geriledi, kalan dört vaka ise postnatal takipler sırasında kayboldu (4/9, %44.4). SONUÇ: Fetal ovaryan kistler için en muhtemel sonuç kendili- ğinden gerilemedir. Torsiyon ya da hemoraji gibi komplikasyonlar olmadıkça ultrasonografik takip önerilmelidir.

Fetal Ovaryan Kistlerin Prenatal Tanısı ve Postnatal Sonuçları

OBJECTIVE: The aim of the present study was to assess the ultrasonographic features, clinical characteristic, and neonatal outcome in fetuses with ovarian cyst. STUDY DESIGN: Retrospective analysis of nine cases of fetal ovarian cyst diagnosed antenatally with regard to ultrasonographic finding, clinical course, and postnatal outcome. RESULTS: Nine cases were diagnosed as having fetal ovarian cysts antenatally. The age of antenatal diagnoses ranged between 30-36 gestational weeks'. One case had (1/9, 11%) additional anomaly (Double collecting system). The cysts were unilateral in all cases. In one case the giant ovarian cyst was drained antenatally due to its compressive effects. Two cases were operated postnatally because of ovarian torsion (2/9, 22.2%). One case had persistent ovarian cyst which showed some degree of regression postnatally. One case regressed before birth, and remaining four cases completely vanished during postnatal follow- up (4/9, 44.4%). CONCLUSION: The most probable outcome for fetal ovarian cysts is spontaneous resolution. Unless complicated with torsion and haemorrhage, close ultrasonographic follow- up is to be recommended.

Kaynakça

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