AJR
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Abstract Freely available
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Enríquez, G.
Right arrow Articles by Lucaya, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Enríquez, G.
Right arrow Articles by Lucaya, J.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
Hotlight (NEW!)
Right arrow
What's Hotlight?

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.



View larger version (126K):

[in a new window]
  		Fig. 1A —Asymptomatic 4-month-old girl with pelvic calcification. Hip radiograph obtained to investigate hip luxation shows calcification (arrow) in left pelvis.

 


View larger version (164K):

[in a new window]
  		Fig. 1B —Asymptomatic 4-month-old girl with pelvic calcification. Longitudinal sonogram (7.5 MHz, sector transducer) shows heterogeneous mass (arrows) with solid and fluid components and echogenic area with posterior shadowing corresponding to calcification (arrowhead). During surgery, left ovary was found to be absent, thereby establishing origin of mass.

 


View larger version (152K):

[in a new window]
  		Fig. 2A —Light microscopy studies of cyst wall and pedicle of one specimen from 4-day-old girl. Cyst wall shows celomic mesothelium with focal calcification (asterisk) and primitive oogonia (arrows), features typically seen in 5- to 6-week embryonic stage of ovarian development. (H and E, x40)

 


View larger version (111K):

[in a new window]
  		Fig. 2B —Light microscopy studies of cyst wall and pedicle of one specimen from 4-day-old girl. Pedicle segment is composed of vascularized connective tissue with thrombosis of some vessels (arrows). (H and E, x100)

 


View larger version (160K):

[in a new window]
  		Fig. 3A —Asymptomatic neonate with echogenic mass discovered on prenatal sonography at 32 weeks of gestation. Longitudinal sonogram (7.5-MHz linear transducer) obtained at 3 days old shows echogenic mass with hyperechoic center.

 


View larger version (119K):

[in a new window]
  		Fig. 3B —Asymptomatic neonate with echogenic mass discovered on prenatal sonography at 32 weeks of gestation. Axial T1-weighted fat-saturation (FAT-SAT) image (TR/TE, 663/14) shows hyperintense area indicating hemorrhagic content.

 


View larger version (159K):

[in a new window]
  		Fig. 3C —Asymptomatic neonate with echogenic mass discovered on prenatal sonography at 32 weeks of gestation. Transverse sonogram of pelvis (7.5-MHz convex transducer) obtained at 1 year old shows only left ovary (arrows). B = bladder.

 


View larger version (159K):

[in a new window]
  		Fig. 4A —Example of spontaneous involution of complex ovarian cyst in 7-day-old girl (patient 10). Longitudinal sonogram obtained at 1 day old shows several characteristics of complex ovarian cysts: echogenic wall (arrows), debris–fluid level (asterisk), and mural nodule (arrowhead).

 


View larger version (150K):

[in a new window]
  		Fig. 4B —Example of spontaneous involution of complex ovarian cyst in 7-day-old girl (patient 10). On follow-up sonogram obtained at 5 months old, cyst has decreased in size, internal echogenicity has changed (mural nodule and debris–fluid level have disappeared), and a calcification (arrows) has appeared at the base.

 


View larger version (109K):

[in a new window]
  		Fig. 4C —Example of spontaneous involution of complex ovarian cyst in 7-day-old girl (patient 10). Unenhanced pelvic CT scan obtained at 3 years old discloses residual calcification in cul-de-sac (arrowhead). Cyst has involuted.

 


View larger version (32K):

[in a new window]
  		Fig. 5A —Diagram of ovarian embryologic development and perioperative view of ovarian cyst. Gonad originates high in abdomen in front of kidney. Primitive gonad is embedded in connective tissue and is attached to pelvis by mesonephric duct.

 


View larger version (122K):

[in a new window]
  		Fig. 5B —Diagram of ovarian embryologic development and perioperative view of ovarian cyst. Photograph of surgical specimen shows that cyst, which was located below liver, is connected to pelvis by long pedicle, which may correspond to primitive gonadal attachments.

 

Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?



HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2005 by the American Roentgen Ray Society.