Онлайн (Онлайн)ISSN 2313-1519
Баспалық (Печатный) ISSN 1812-2892
Тұжырымдама (Резюме) - Follow-up of Neonatal Ovarian Cysts. A Retrospective Cross-sectional Study
Didem Baskin Embleton, Betul Zengin, Ahmet Ali Tuncer, Ahmet Afşin Kundak, Evrim Ozkaraca Boyaci, Salih Çetinkurşun


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

Corresponding Author: Didem Baskın Embleton, MD, Department of Pediatric Surgery, Afyonkarahisar Health Sciences University Medical Faculty, Afyonkarahisar, Turkey. Tel.: 0090(505)7171655. Email:



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Көлем (Объем) 3, Сан (Число) 53 (2019)