Invasive fetal therapies: approach and results in treating fetal ovarian cysts

Noia, G.; Riccardi, Maria Teresa; Visconti, Daniela; Pellegrino, Marcella; Quattrocchi, Tomasella; Tintoni, M.; Manzoni, Carlo; Pintus, Claudio; Masini, Lucia; Caruso, Alessandro

doi:10.3109/14767058.2011.574300

Cited by 28 publications

(39 citation statements)

References 10 publications

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“…Considering these results, fetal treatment via intrauterine aspiration of simple ovarian cysts has been recommended to prevent torsion as well as other complications. Other authors have similarly described the effectiveness of intrauterine aspiration [6]. However, ovarian cystic torsion was confirmed in only 4 cases (12%) in the present study.…”

Section: Discussioncontrasting

confidence: 53%

“…Therefore, accurate prenatal diagnosis is imperative when prenatal aspiration is chosen. Fetal ovarian cysts have been reported to recur after prenatal aspiration at a rate of ≥70% [6]. It is expected that the danger of complications becomes proportionally higher as the number of aspiration procedures increases.…”

Section: Discussionmentioning

confidence: 99%

“…When a fetal cystic abdominal mass is detected, accurate differential diagnosis must be made with regard to possible intestinal duplication, omental cyst, mesenteric cyst, lymphangioma, choledochal cyst, urachal cyst, hydronephrosis, renal cyst and bladder distension [10]. It has been estimated that when prenatal aspiration has been performed, approximately 6% of those cases have been misdiagnosed [2,6]. Therefore, accurate prenatal diagnosis is imperative when prenatal aspiration is chosen.…”

Section: Discussionmentioning

confidence: 99%

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Postnatal Outcome in Cases of Prenatally Diagnosed Fetal Ovarian Cysts under Conservative Prenatal Management

Nakamura

Ishii²,

Murata³

et al. 2014

Fetal Diagn Ther

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Aim: To evaluate the outcome of cases of prenatally diagnosed fetal ovarian cyst under conservative prenatal management. Methods: This retrospective cohort study included patients diagnosed between January 2005 and August 2013. They were managed expectantly during pregnancy and followed up until spontaneous regression of the cyst or postnatal surgery. The outcomes of fetal ovarian cysts were compared combined appearance as being simple or complex at prenatal scan and maximum size of cysts ≥40 or <40 mm. Results: There were 33 study cases. Prenatally 3/33 cases (9%) had spontaneous cyst regression during pregnancy. 14 cysts (42%) were treated surgically, of which torsion was confirmed in 4 (29%). Another 14/33 cases (42%) regressed spontaneously under conservative management after birth. The ovaries could be preserved in 28 patients (85%). The incidence of torsion between complex cysts and simple cysts was not statistically different. The incidence of torsion between patients with cyst size ≥40 and <40 mm was similar. Conclusions: The ovaries could be preserved in approximately 85% of patients under conservative management. The present study could not reveal the significance of prenatal ultrasonographic findings of fetal ovarian cyst for predicting the outcome of patients' ovaries.

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Section: Discussioncontrasting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Postnatal Outcome in Cases of Prenatally Diagnosed Fetal Ovarian Cysts under Conservative Prenatal Management

Nakamura

Ishii²,

Murata³

et al. 2014

Fetal Diagn Ther

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“…Haemorrhage within a eyst is usually found in assoeiafion with torsion; therefore imaging methods (USG or MRI) may not able to distinguish these complications (18,19). The importance of aspirafion of ovarian cysts exeeeding a 40 mm diameter was reported by Noia et al (25). Long-term outcome after perinatal ovarian torsion is unknown.…”

Section: Discussionmentioning

confidence: 99%

Prenatal diagnosis of fetal ovarian cyst: case report and review of the literature

Erol¹,

Erol²,

Isenlik³

et al. 2013

J Turkish German Gynecol Assoc

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Foetal ovarian cysts are the most frequently encountered intra-abdominal cystic masses diagnosed prenatally. The aetiology of foetal ovarian cysts is still unknown, but hormonal stimulation is generally considered to be responsible for the disease. The diagnosis is made by the exclusion of other cystic lesions confined to the foetal abdomen. In this article we report antenatally-detected foetal ovarian cyst with a review of the available literature. Antenatal ultrasonography (USG) revealed an abdominal cystic mass 41×33 mm in diameter in a 33-week gestation female foetus. The normal anatomy of other foetal abdominal organs suggested that an ovarian cyst was the most likely diagnosis. In the antenatal follow-up period, the cyst diameter increased with time. After delivery, USG scan confirmed the antenatal findings. Due to abdominal distension and respiratory distress, ovarian cystectomy was performed on the second postnatal day. The histopathological evaluation of the surgical material reported a serous cystadenoma of the ovary with non-malignant properties.

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“…The corresponding values in fetuses with simple and complex ovarian cysts were 24.6% (95% CI, 14.2-36.9%) and 64.8% (95% CI, 52.2-76.3%), respectively (Table S6). 15 Thakkar (2015) 16 Nakamura (2015) 17 Marchitelli (2015) 18 Açıkgöz (2015) 19 Jwa (2015) 20 Papic (2014) 21 Karakuş (2014) 22 Turgal (2013) 23 Amari (2013) 24 Dimitraki (2012) 25 Gaspari (2012) 26 Lecarpentier (2012) 27 Nemec (2012) 28 Noia (2012) 29 Aqrabawi (2011) 30 Akin (2010) 31 Eleftheriades (2010) 32 Ben-Ami (2010) 33 Zampieri (2008) 34 Godinho (2008) 35 Shimada (2008) 36 Monnery-Noché (2008) 37 Galinier (2008) 38 Kwak (2006) 39 Foley (2005) 40 Enríquez (2005) 41 Comparetto (2005) 42 Quarello (2003) 43 Mittermayer (2003) 44 Heling (2002) 45 Bagolan (2002) 46 Perrotin (2000) 47 Luzzatto (2000) 48 Only first author of each study is given. A study can be awarded a maximum of one star for each numbered item within Selection and Outcome categories and a maximum of two stars for Comparability.…”

Section: Surgerymentioning

confidence: 99%

Outcome of fetal ovarian cysts diagnosed on prenatal ultrasound examination: systematic review and meta‐analysis

Bascietto

Liberati

Marrone

et al. 2017

Ultrasound in Obstet & Gyne

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Invasive fetal therapies: approach and results in treating fetal ovarian cysts

Cited by 28 publications

References 10 publications

Postnatal Outcome in Cases of Prenatally Diagnosed Fetal Ovarian Cysts under Conservative Prenatal Management

Postnatal Outcome in Cases of Prenatally Diagnosed Fetal Ovarian Cysts under Conservative Prenatal Management

Prenatal diagnosis of fetal ovarian cyst: case report and review of the literature

Outcome of fetal ovarian cysts diagnosed on prenatal ultrasound examination: systematic review and meta‐analysis

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