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Yenidoğanda Over Kisti

Year 2013, Volume: 13 Issue: 1, 36 - 39, 01.01.2013
https://doi.org/10.5222/j.child.2013.036

Abstract

Yenidoğanda over kisti ender görülen bir durumdur. Ultrasonografinin yaygın olarak kullanıma girmesinin ardından tespit edilme oranı artmıştır. Ancak halen bu hastaların tanı, takip, prognozu ve tedavisi tartışmalıdır. On bir aylık kız hasta polikliniğimize, doğumdan beri devam eden ve küçülmeyen over kistleri nedeniyle başvur- du. Hastanın muayenesi ve gelişimi normaldi. Yapılan ult- rasonografide, en büyüğü 12x11 mm boyutlarında basit kistler tespit edildi. Hastanın takiplerinde kistlerin boyu- tunda küçülme saptanması ve komplikasyon gelişmemesi üzerine hasta takibe alındı. Yenidoğan döneminde gözlenen over kistlerinin bir çoğu selimdir. Konjenital pilor stenozu, hidrosefali, korpus kallozum agenezisi ve fetal hipotirodizm gibi anomaliler eşlik edebilmektedir. Prognozu belirlemede en önemli faktörler kist çapı ve ekojenitesidir. Potansiyel komplikasyonları arasında over torsiyonu, over rüptürü, kanama ve diğer organlara bası bulunmaktadır. Torsiyon en önemli ve ciddi komplikasyondur ve 5 cm’den küçük kistlerde bile gözlenebilmekte ve over kaybı ile sonuçlana- bilmektedir. Yenidoğan döneminde görülen over kistleri, genellikle kendiliğinden küçülerek kaybolmaktadır. Bu yüz- den ultrason ile takip, bu hastaların izleminde en sık tercih edilen yoldur. Ciddi komplikasyonları olmasına rağmen, bunların görülme sıklığı çok enderdir

References

  • 1. Valenti C, Kassner EG, Yermakov V, Cromb E. Antenatal diagnosis of a fetal ovarian cyst. Am J Obstet Gynecol 1975; 123:216-21.
  • 2. Nussbaum AR, Sanders RC, Hartman JS, Dudgeon DL, Parmley TH. Neonatal ovarian cyst: sonographic pathologic correlation. Radiology 1988;168:817-21. PMid:3043551
  • 3. Grumbach MM, Kaplan SL. Fetal pituitary hormones and the maturation of central nervous system of anterior pituitary function. In: Gluck L, ed. Modern perinatal medicine. Chicago: Medical Publishers Year Book; 1975. P. 247-56.
  • 4. Richardson GS. Hormonal physiology of the ovary. In: Gold JJ, Josimovich JR, eds. Gynecologic Endocrinology. New York: Harper and Row; 1980. P. 123-46. PMCid:1437329
  • 5. Nussbaum AR, Sanders RC, Benator RM, Haller JA Jr, Dudgeon DL. Spontaneous resolution of neonatal ovarian cysts. AJR Am J Roentgenol 1987;148:175-6. http://dx.doi.org/10.2214/ajr.148.1.175 PMid:3538832
  • 6. Kuroiwa M, Hatakeyama S, Suzuki N, Murai H, Toki F, Tsuchida Y. Neonatal ovarian cysts: management with reference to magnetic resonance imaging. Asian J Surg 2004;27:43-8. http://dx.doi.org/10.1016/S1015-9584(09)60243-8
  • 7. Zampieri N, Borruto F, Zamboni C, Camoglio FS. Fetal and neonatal ovarian cysts: a 5-year experience. Arch Gynecol Obstet 2008;277:303-6. http://dx.doi.org/10.1007/s00404-007-0483-5 PMid:17952447
  • 8. Gallagher TA, Lim-Dunham JE, Vade A, Smith S, Salhadar A, Ward KA. Sonographic appearance of ruptured ovarian cyst in the neonatal period. J Clin Ultrasound 2008;36:53-5. http://dx.doi.org/10.1002/jcu.20362 PMid:17583560
  • 9. Kessler A, Nagar H, Graif M, et al. Percutaneous drainage as the treatment of choice for neonatal ovarian cysts. Pediatr Radiol 2006;36:954-8. http://dx.doi.org/10.1007/s00247-006-0240-0 PMid:16819601
  • 10. Akın MA, Akın L, Özbek S, et al. Fetal-neonatal ovarian cysts--their monitoring and management: retrospective evaluation of 20 cases and review of the literature. J Clin Res Pediatr Endocrinol 2010;2(1):28-33. http://dx.doi.org/10.4274/jcrpe.v2i1.28 PMid:21274333 PMCid:3005663
  • 11. Chiaramonte C, Piscopo A, Cataliotti F. Ovarian cysts in newborns. Pediatr Surg Int 2001;17:171-4. http://dx.doi.org/10.1007/s003830000471 PMid:11315281
  • 12. Dobremez E, Moro A, Bondonny J-M, Vergnes P. Laparoscopic treatment of ovarian cyst in the newborn, A series of nine cases. Surg Endosc 2003;17:328-32. http://dx.doi.org/10.1007/s00464-001-9099-1PMid:12375157
  • 13. Arena F, Romeo C, Castagnetti M, et al. Is the stripping technique a tissue-sparing procedure in large simple ovarian cysts in children? J Pediatr Surg 2008;43:1353-7. http://dx.doi.org/10.1016/j.jpedsurg.2007.11.014 PMid:18639695
  • 14. Gaudin J, Treguilly C, Parent P, et al. Neonatal ovarian cysts with antenatal diagnosis. Pediatr Surg Int 1988;3:158-64.
  • 15. Debeugny P, Huillet P, Cussac L, Bourgeot F, Bonnevalle M. Le traitement non operatoire sistematique des kystes de I’ovaire de nouveau-ne: a propos de 8 observations. Chir Pediatr 1989;30:30-6. PMid:2663202
  • 16. Schmachmann S, Haller JO. Neonatal ovarian cysts: pathogenesis, diagnosis and management. Pediatr Radiol 1997;27: 101-5. http://dx.doi.org/10.1007/s002470050077
  • 17. Brandt ML, Helmrath MA. Ovarian cysts in infants and children. Semin Pediatr Surg 2005;14:78-85. http://dx.doi.org/10.1053/j.sempedsurg.2005.01.002 PMid:15846563
  • 18. Dolgin SE. Ovarian masses in the newborn. Semin Pediatr Surg 2000;9:121-7. http://dx.doi.org/10.1053/spsu.2000.7567 PMid:10949421
  • 19. Jafri SZH, Bree RL, Silver TM, Ouimette M. Fetal ovarian cysts: sonographic detection and association with hypothyroidism. Radiology 1984;150:809-12. PMid:6695083
  • 20. Monnery-Noché ME, Auber F, Jouannic JM, et al. Fetal and neonatal ovarian cysts: is surgery indicated? Prenat Diagn 2008;28:15-20. http://dx.doi.org/10.1002/pd.1915 PMid:18186135
  • 21. Hasiakos D, Papakonstantinou K, Bacanu AM, Argeitis J, Botsis D, Vitoratos N. Clinical experience of five fetal ovarian cysts: diagnosis and follow-up. Arch Gynecol Obstet 2008; 277:575-8. http://dx.doi.org/10.1007/s00404-007-0508-0 PMid:18034256
  • 22. Shimada T, Miura K, Gotoh H, Nakayama D, Masuzaki H. Management of prenatal ovarian cysts. Early Hum Develop 2008;84:417-20. http://dx.doi.org/10.1016/j.earlhumdev.2007.12.002 PMid:18207672
  • 23. Vogtländer MF, Rijntjes-Jacobs EGJ, van den Hoonaard ThL, Versteegh FGA. Neonatal ovarian cysts. Acta Paediatr 2003;92:498-501. http://dx.doi.org/10.1111/j.1651-2227.2003.tb00585.x PMid:12801120
  • 24. Landrum B, Ogburn PL Jr, Feinberg S, Bendel R, Ferrara B, Johnson DE, Thompson TR. Intrauterine aspiration of a large fetal ovarian cyst. Obstet Gynecol 1986;68(suppl 3):11S14S. PMid:3526220

Ovarian Cyst in a Newborn

Year 2013, Volume: 13 Issue: 1, 36 - 39, 01.01.2013
https://doi.org/10.5222/j.child.2013.036

Abstract

Ovarian cysts are rarely seen in newborns. Routine antena- tal ultrasonography has increased the rate of detection of neonatal ovarian cysts. However, the diagnosis, follow up, prognosis and treatment of these patients are still contro- versial. 11 months old girl admitted to our clinic with ovarian cysts continiuing from birth. Physical examination and development of the patient was normal. Simple cysts with largest diameter of 12x11 mm were detected at ultra- sonography. Cyst diameter was decreased and no compli- cation was observed at follow-up. The majority of neonatal ovarian cysts are benign. Associated anomalies are conge- nital pyloric stenosis, hydrocephalus, agenesis of the cor- pus callosum, and fetal hypothyroidism. Cyst diameter and echogenicity are the main criteria for establishing progno- sis. Potential complications of ovarian cysts include torsi- on with loss of ovary, rupture, hemorrhage, and compressi- on of other viscera. Of these complications, ovarian torsion is one of the most serious and has been also reported in cysts smaller than 5 cm. Most of the neonatal ovarian cysts spontaneously resolves. Ultrasonography, is the most pre- ferred way of follow-up. Altough, potential complications of neonatal ovarian cysts are serious, they rarely happen

References

  • 1. Valenti C, Kassner EG, Yermakov V, Cromb E. Antenatal diagnosis of a fetal ovarian cyst. Am J Obstet Gynecol 1975; 123:216-21.
  • 2. Nussbaum AR, Sanders RC, Hartman JS, Dudgeon DL, Parmley TH. Neonatal ovarian cyst: sonographic pathologic correlation. Radiology 1988;168:817-21. PMid:3043551
  • 3. Grumbach MM, Kaplan SL. Fetal pituitary hormones and the maturation of central nervous system of anterior pituitary function. In: Gluck L, ed. Modern perinatal medicine. Chicago: Medical Publishers Year Book; 1975. P. 247-56.
  • 4. Richardson GS. Hormonal physiology of the ovary. In: Gold JJ, Josimovich JR, eds. Gynecologic Endocrinology. New York: Harper and Row; 1980. P. 123-46. PMCid:1437329
  • 5. Nussbaum AR, Sanders RC, Benator RM, Haller JA Jr, Dudgeon DL. Spontaneous resolution of neonatal ovarian cysts. AJR Am J Roentgenol 1987;148:175-6. http://dx.doi.org/10.2214/ajr.148.1.175 PMid:3538832
  • 6. Kuroiwa M, Hatakeyama S, Suzuki N, Murai H, Toki F, Tsuchida Y. Neonatal ovarian cysts: management with reference to magnetic resonance imaging. Asian J Surg 2004;27:43-8. http://dx.doi.org/10.1016/S1015-9584(09)60243-8
  • 7. Zampieri N, Borruto F, Zamboni C, Camoglio FS. Fetal and neonatal ovarian cysts: a 5-year experience. Arch Gynecol Obstet 2008;277:303-6. http://dx.doi.org/10.1007/s00404-007-0483-5 PMid:17952447
  • 8. Gallagher TA, Lim-Dunham JE, Vade A, Smith S, Salhadar A, Ward KA. Sonographic appearance of ruptured ovarian cyst in the neonatal period. J Clin Ultrasound 2008;36:53-5. http://dx.doi.org/10.1002/jcu.20362 PMid:17583560
  • 9. Kessler A, Nagar H, Graif M, et al. Percutaneous drainage as the treatment of choice for neonatal ovarian cysts. Pediatr Radiol 2006;36:954-8. http://dx.doi.org/10.1007/s00247-006-0240-0 PMid:16819601
  • 10. Akın MA, Akın L, Özbek S, et al. Fetal-neonatal ovarian cysts--their monitoring and management: retrospective evaluation of 20 cases and review of the literature. J Clin Res Pediatr Endocrinol 2010;2(1):28-33. http://dx.doi.org/10.4274/jcrpe.v2i1.28 PMid:21274333 PMCid:3005663
  • 11. Chiaramonte C, Piscopo A, Cataliotti F. Ovarian cysts in newborns. Pediatr Surg Int 2001;17:171-4. http://dx.doi.org/10.1007/s003830000471 PMid:11315281
  • 12. Dobremez E, Moro A, Bondonny J-M, Vergnes P. Laparoscopic treatment of ovarian cyst in the newborn, A series of nine cases. Surg Endosc 2003;17:328-32. http://dx.doi.org/10.1007/s00464-001-9099-1PMid:12375157
  • 13. Arena F, Romeo C, Castagnetti M, et al. Is the stripping technique a tissue-sparing procedure in large simple ovarian cysts in children? J Pediatr Surg 2008;43:1353-7. http://dx.doi.org/10.1016/j.jpedsurg.2007.11.014 PMid:18639695
  • 14. Gaudin J, Treguilly C, Parent P, et al. Neonatal ovarian cysts with antenatal diagnosis. Pediatr Surg Int 1988;3:158-64.
  • 15. Debeugny P, Huillet P, Cussac L, Bourgeot F, Bonnevalle M. Le traitement non operatoire sistematique des kystes de I’ovaire de nouveau-ne: a propos de 8 observations. Chir Pediatr 1989;30:30-6. PMid:2663202
  • 16. Schmachmann S, Haller JO. Neonatal ovarian cysts: pathogenesis, diagnosis and management. Pediatr Radiol 1997;27: 101-5. http://dx.doi.org/10.1007/s002470050077
  • 17. Brandt ML, Helmrath MA. Ovarian cysts in infants and children. Semin Pediatr Surg 2005;14:78-85. http://dx.doi.org/10.1053/j.sempedsurg.2005.01.002 PMid:15846563
  • 18. Dolgin SE. Ovarian masses in the newborn. Semin Pediatr Surg 2000;9:121-7. http://dx.doi.org/10.1053/spsu.2000.7567 PMid:10949421
  • 19. Jafri SZH, Bree RL, Silver TM, Ouimette M. Fetal ovarian cysts: sonographic detection and association with hypothyroidism. Radiology 1984;150:809-12. PMid:6695083
  • 20. Monnery-Noché ME, Auber F, Jouannic JM, et al. Fetal and neonatal ovarian cysts: is surgery indicated? Prenat Diagn 2008;28:15-20. http://dx.doi.org/10.1002/pd.1915 PMid:18186135
  • 21. Hasiakos D, Papakonstantinou K, Bacanu AM, Argeitis J, Botsis D, Vitoratos N. Clinical experience of five fetal ovarian cysts: diagnosis and follow-up. Arch Gynecol Obstet 2008; 277:575-8. http://dx.doi.org/10.1007/s00404-007-0508-0 PMid:18034256
  • 22. Shimada T, Miura K, Gotoh H, Nakayama D, Masuzaki H. Management of prenatal ovarian cysts. Early Hum Develop 2008;84:417-20. http://dx.doi.org/10.1016/j.earlhumdev.2007.12.002 PMid:18207672
  • 23. Vogtländer MF, Rijntjes-Jacobs EGJ, van den Hoonaard ThL, Versteegh FGA. Neonatal ovarian cysts. Acta Paediatr 2003;92:498-501. http://dx.doi.org/10.1111/j.1651-2227.2003.tb00585.x PMid:12801120
  • 24. Landrum B, Ogburn PL Jr, Feinberg S, Bendel R, Ferrara B, Johnson DE, Thompson TR. Intrauterine aspiration of a large fetal ovarian cyst. Obstet Gynecol 1986;68(suppl 3):11S14S. PMid:3526220
There are 24 citations in total.

Details

Primary Language Turkish
Journal Section Research Articles
Authors

Burcu Özdilek This is me

Burçin Nalbantoğlu This is me

Mustafa Metin Donma This is me

Cem Çelik This is me

Cem Paketçi This is me

Erkut Karasu This is me

Nuriye Ece Mintaş This is me

Publication Date January 1, 2013
Published in Issue Year 2013 Volume: 13 Issue: 1

Cite

APA Özdilek, B., Nalbantoğlu, B., Donma, M. M., Çelik, C., et al. (2013). Yenidoğanda Over Kisti. Journal of Child, 13(1), 36-39. https://doi.org/10.5222/j.child.2013.036
AMA Özdilek B, Nalbantoğlu B, Donma MM, Çelik C, Paketçi C, Karasu E, Mintaş NE. Yenidoğanda Over Kisti. Journal of Child. January 2013;13(1):36-39. doi:10.5222/j.child.2013.036
Chicago Özdilek, Burcu, Burçin Nalbantoğlu, Mustafa Metin Donma, Cem Çelik, Cem Paketçi, Erkut Karasu, and Nuriye Ece Mintaş. “Yenidoğanda Over Kisti”. Journal of Child 13, no. 1 (January 2013): 36-39. https://doi.org/10.5222/j.child.2013.036.
EndNote Özdilek B, Nalbantoğlu B, Donma MM, Çelik C, Paketçi C, Karasu E, Mintaş NE (January 1, 2013) Yenidoğanda Over Kisti. Journal of Child 13 1 36–39.
IEEE B. Özdilek, “Yenidoğanda Over Kisti”, Journal of Child, vol. 13, no. 1, pp. 36–39, 2013, doi: 10.5222/j.child.2013.036.
ISNAD Özdilek, Burcu et al. “Yenidoğanda Over Kisti”. Journal of Child 13/1 (January 2013), 36-39. https://doi.org/10.5222/j.child.2013.036.
JAMA Özdilek B, Nalbantoğlu B, Donma MM, Çelik C, Paketçi C, Karasu E, Mintaş NE. Yenidoğanda Over Kisti. Journal of Child. 2013;13:36–39.
MLA Özdilek, Burcu et al. “Yenidoğanda Over Kisti”. Journal of Child, vol. 13, no. 1, 2013, pp. 36-39, doi:10.5222/j.child.2013.036.
Vancouver Özdilek B, Nalbantoğlu B, Donma MM, Çelik C, Paketçi C, Karasu E, Mintaş NE. Yenidoğanda Over Kisti. Journal of Child. 2013;13(1):36-9.