Follow-up of Neonatal Ovarian Cysts. A Retrospective Cross-sectional Study

Наблюдение за кистой яичника у новорожденных. Ретроспективное поперечное исследование
Didem Baskin Embleton 1 * , Betul Zengin 2, Ahmet Ali Tuncer 1, Ahmet Afşin Kundak 3, Evrim Ozkaraca Boyaci 1, Salih Çetinkurşun 1
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1 Department of Pediatric Surgery, Faculty of Medicine, Afyonkarahisar University of Health Sciences, Afyonkarahisar, Turkey
2 Department of Radiology, Faculty of Medicine, Afyonkarahisar University of Health Sciences, Afyonkarahisar, Turkey
3 Department of Neonatology, Faculty of Medicine, Afyonkarahisar University of Health Sciences, Afyonkarahisar, Turkey
* Corresponding Author
J CLIN MED KAZ, Volume 3, Issue 53, pp. 38-41. https://doi.org/10.23950/1812-2892-JCMK-00695
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ABSTRACT

Objective: This study was planned to see the results of follow-up of ovarian cysts in newborn patients at a university hospital.
Methods: Newborns with ovarian cysts that were diagnosed by US between 2010 and 2018 were retrospectively evaluated. US follow-up was performed in 2 to 3 month periods. Initial largest diameter of the ovarian cyst, number of cysts, bilateral or unilateral localization, if the cyst is complex or simple, alpha fetoprotein and β-HCG levels, if operated the type of the operation and pathology results were retrieved.
Results: Nineteen patients were included. Seven patients had ovarian cysts ≥20 mm and 5 were complex cysts. Two of 5 complex cysts were operated for abdominal mass and ovarian torsion was diagnosed. Other 3 complex cysts are having a conservative treatment due to lack of any clinical symptoms. All regressed in size. All simple cysts had non-operative management and regressed in size during follow-up. AFP levels were high in all. Control AFP levels decreased in all patients.
Conclusion: Conservative management seems appropriate for patients both with complex or simple cysts, because nearly all cysts were regressed and both ovaries persisted during follow-up. Surgical decision was the clinical presence of a mass in complex cysts. This is a small series and follow-up is short to make a final decision for management. A consensus is needed among the surgeons about the treatment options after discussing the complications related to conservative and surgical approaches of complex ovarian cysts.
Keywords: infant, newborn, ovary, ovarian cysts

CITATION

Baskin Embleton D, Zengin B, Tuncer AA, Kundak AA, Ozkaraca Boyaci E, Çetinkurşun S. Follow-up of Neonatal Ovarian Cysts. A Retrospective Cross-sectional Study. Journal of Clinical Medicine of Kazakhstan. 2019;3(53):38-41. https://doi.org/10.23950/1812-2892-JCMK-00695

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