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.

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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