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AJR 2005; 185:501-508
© American Roentgen Ray Society

Clinical Observations

Conservative Versus Surgical Treatment for Complex Neonatal Ovarian Cysts: Outcomes Study

Goya Enríquez1, Carmina Durán2, Nuria Torán3, Joaquim Piqueras1, Eduard Gratacós4, Celestino Aso1, Josep Lloret5, Amparo Castellote1 and Javier Lucaya1

1 Pediatric Radiology Department, Hospital Materno-infantil Vall d'Hebron, Ps. Vall d'Hebron 119-129, Barcelona E-08035, Spain.
2 Department of Radiology, Consorci Hospitalari Parc Taulí, Sabadell, Spain.
3 Department of Pathology, Hospital Vall d'Hebron, Barcelona, Spain.
4 Department of Obstetrics, Hospital Materno-infantil Vall d'Hebron, Barcelona, Spain.
5 Department of Pediatric Surgery, Hospital Materno-infantil Vall d'Hebron, Barcelona, Spain.

Abstract

OBJECTIVE. Prenatally diagnosed complex ovarian cysts are most often managed surgically in an attempt to save the ovary. Nevertheless, published surgical results disclose that most patients undergo oophorectomy or salpingo-oophorectomy. We assessed whether a surgical or conservative approach was more appropriate by comparing the long-term outcome of infants treated by both methods. A hypothesis for the cause of complex cysts is presented.

CONCLUSION. Clinical evidence questions the use of surgery for asymptomatic complex ovarian cysts. Histologic analysis suggests gonad maldevelopment as the origin of complex neonatal ovarian cysts.


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