Fetal Ovarian Cyst—A Scoping Review of the Data from the Last 10 Years

Bucuri, Carmen Elena; Mihu, Dan; Măluţan, Andrei Mihai; Oprea, Valentin; Berceanu, Costin; Nati, Ionel Daniel; Rada, Maria Patricia; Ormindean, Cristina; Blaga, Ligia; Ciortea, Răzvan

doi:10.3390/medicina59020186

Cited by 4 publications

(2 citation statements)

References 25 publications

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“…Another relatively prevalent abdominal cyst deriving from ovarian tissue is the ovarian follicular cyst, mostly observed in prepubertal children and adolescents due to follicles failing to involute under hormonal stimulation (14). A simple ovarian cyst is typically characterized as round to oval, featuring smooth, thin walls without any solid components or septations (15).…”

Section: Discussionmentioning

confidence: 99%

Intra-abdominal Cysts Not Originating from Liver, Spleen, or Kidney in Children: Assessment of the Diagnostic Value of Ultrasound Features

Alamdaran,

Nazeri,

Naghavi

et al. 2024

Iran J Pediatr

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Background: Cystic abdominal masses are relatively prevalent in the pediatric population. Ultrasound (US) often serves as the initial imaging modality for evaluating these lesions, assisting in diagnosis, and guiding clinical decisions. Objectives: This study aimed to delineate the characteristic US features of intra-abdominal cystic lesions not arising from the liver, spleen, or kidney in children and to assess their diagnostic value for providing definitive diagnoses. Methods: Conducted in the radiology department of pediatric hospitals affiliated with Mashhad University of Medical Sciences from 2019 to 2022, this cross-sectional study examined 104 children with cystic abdominal lesions. Patient demographic data and US characteristics were documented. Definitive diagnoses were established through histopathological reports, surgical outcomes, or clinical follow-up. The accuracy of US findings was evaluated against these definitive diagnoses, with the sensitivity and specificity of US features for various intra-abdominal cystic lesions being calculated. Results: The most frequent cystic lesions identified were perinatal ovarian torsion (22.1%) and duplication cysts (18.2%). Ultrasound achieved a sensitivity and specificity of 82.61% (95% CI = 0.6 - 0.94) and 100% (95% CI = 0.94 - 1), respectively, in diagnosing perinatal ovarian torsion and 89.47% (95% CI = 0.65 - 0.98) and 94.11% (95% CI = 0.86 - 0.97) in diagnosing duplication cysts. In 80.8% of the cases, the initial US diagnosis corresponded with the final diagnosis. Conclusions: Ultrasound exhibits commendable sensitivity and specificity in identifying intra-abdominal cysts not originating from the liver, spleen, or kidneys in children, demonstrating its effectiveness in the diagnostic evaluation of these lesions.

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Section: Discussionmentioning

confidence: 99%

Intra-abdominal Cysts Not Originating from Liver, Spleen, or Kidney in Children: Assessment of the Diagnostic Value of Ultrasound Features

Alamdaran,

Nazeri,

Naghavi

et al. 2024

Iran J Pediatr

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“…A recent scoping review by Bucuri et al reported a 34% higher risk of complications in cases of a complex fetal ovarian cyst diagnosis, based on an evaluation of 15 articles published within the last 10 years [13]. In addition, a systematic review and meta-analysis by Bascietto et al, based on 34 studies published up to 2017, showed a higher risk of ovarian torsion for cysts measuring ≥40 mm compared with those measuring less than 40 mm (odds ratio-OR: 30.8; 95% CI: 8.6-110.0) [7].…”

Section: Introductionmentioning

confidence: 99%

Managing Fetal Ovarian Cysts: Clinical Experience with a Rare Disorder

et al. 2023

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Background and Objectives: Fetal ovarian cysts (FOCs) are a very rare pathology that can be associated with maternal–fetal and neonatal complications. The aim of this study was to assess the influence of ultrasound characteristics on FOC evolution and therapeutic management. Materials and Methods: We included cases admitted to our perinatal tertiary center between August 2016 and December 2022 with a prenatal or postnatal ultrasound evaluation indicative of FOC. We retrospectively analyzed the pre- and postnatal medical records, sonographic findings, operation protocols, and pathology reports. Results: This study investigated 20 cases of FOCs, of which 17 (85%) were diagnosed prenatally and 3 (15%) postnatally. The mean size of prenatally diagnosed ovarian cysts was 34.64 ± 12.53 mm for simple ovarian cysts and 55.16 ± 21.01 mm for complex ovarian cysts (p = 0.01). The simple FOCs ≤ 4 cm underwent resorption (n = 7, 70%) or size reduction (n = 3, 30%) without complications. Only 1 simple FOC greater than 4 cm reduced its size during follow-up, while 2 cases (66.6%) were complicated with ovarian torsion. Complex ovarian cysts diagnosed prenatally underwent resorption in only 1 case (25%), reduced in size in 1 case (25%), and were complicated with ovarian torsion in 2 cases (50%). Moreover, 2 simple (66.6%) and 1 complex (33.3%) fetal ovarian cysts were postnatally diagnosed. All of these simple ovarian cysts had a maximum diameter of ≤4 cm, and all of them underwent size reduction. The complex ovarian cyst of 4 cm underwent resorption during follow-up. Conclusions: Symptomatic neonatal ovarian cysts, as well as those that grow in size during sonographic follow-up, are in danger of ovarian torsion and should be operated on. Complex cysts and large cysts (with >4 cm diameter) could be followed up unless they become symptomatic or increase in dimensions during serial ultrasounds.

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