Therapeutic Dilemma In a Newborn With Bilaterally Enlarged Multicystic Ovaries and Absence of Primordial Follicles: a Case Report
Öz
Bilateral ovarian cysts of 5 cm diameters each were detected in the fetus of a 30-year-old gravida 1 pregnant woman during 30 weeks of gestation. Postnatal ultrasound and MR scans revealed multicystic lesions in both ovaries R:10 cm, L: 7cm without any solid component, and displacement of intestine and kidneys. At operation, after performing bilateral wedge resection, drilling procedure was done. The histopathology results reported multiple aluteinized follicular cysts without any primordial follicles. Our case presents difficulty in terms of treatment choices particularly because of bilateral disease without any normal ovarian tissue
Anahtar Kelimeler
Kaynakça
- Shimada T, Miura K, Gotoh H, Nakayama D, Masuzaki H. Management of prenatal ovarian cysts. Earl Hum Dev 2008; 84: 417-20.
- Bagolan P, Giarlandino C, Nahom A ve ark. The management of fetal ovarian cysts. J Pediatr Surg 2002; 37: 25-30.
- Templeman CL, Fallat ME. Ovarian Tumors. in Pediatric Surgery. Jay L Grosfeld, James A O’Neill Jr., Eric W Fonkalsrud, Arnold G Coran Eds. Sixth ed, Philadelphia, Mosby Elsevier. 2006, pp.593-621.
- Foley PT, Ford, WDA, McEwing R, Furness M. Is conservative management of prenatal and neonatal ovarian cysts justifi able? Fetal Diagn Ther 2005; 20: 454-8.
- Brandt ML, Luks FI, Filiatrault D ve ark. Surgical indicationsin antenatally diagnosed ovarian cysts. J Pediatr Surg 1991;26: 276-82.
- Ikeda K, Suito S, Nakano H. Management of ovarian cyst detected antenatally. J Pediatr Surg 1988; 23: 432-5.
- Eggermont E, Lecoutere D, Devlieger H ve ark. Ovarian cysts in newborn infants. Am J Dis Child 1988; 142: 702.
Yenidoğanda Bilateral Büyük Multikistik Overlerler ve Primordial Foliküllerin Yokluğunda Tedavi Seçiminde Güçlük: Bir Olgu Sunumu
Öz
30 yaşında, gravida 1 hastanın 30. gebelik haftasında yapılan rutin ultrasonografisinde fetusta her ikisi de 5’ er cm çapında olan bilateral over kisti saptandı. Postnatal ultrasonografi ve MR her iki overde R:10 cm, L:7 cm solid komponent olmaksızın multikistik lezyonlar ve barsak ve böbreklerde itilme ortaya koydu. Operasyonda bilateral wedge biyopsi alındıktan sonra drilling işlemi ile kitleler küçültüldü. Histopatolojisinde hiç primordial folikül görülmezken, multipl aluteinize folikül kisti olarak rapor edildi. Olgumuz özellikle bilateral olduğundan ve normal over dokusu bulunmadığından tedavi seçimi açısından güçlük arzetmektedir
Anahtar Kelimeler
Kaynakça
- Shimada T, Miura K, Gotoh H, Nakayama D, Masuzaki H. Management of prenatal ovarian cysts. Earl Hum Dev 2008; 84: 417-20.
- Bagolan P, Giarlandino C, Nahom A ve ark. The management of fetal ovarian cysts. J Pediatr Surg 2002; 37: 25-30.
- Templeman CL, Fallat ME. Ovarian Tumors. in Pediatric Surgery. Jay L Grosfeld, James A O’Neill Jr., Eric W Fonkalsrud, Arnold G Coran Eds. Sixth ed, Philadelphia, Mosby Elsevier. 2006, pp.593-621.
- Foley PT, Ford, WDA, McEwing R, Furness M. Is conservative management of prenatal and neonatal ovarian cysts justifi able? Fetal Diagn Ther 2005; 20: 454-8.
- Brandt ML, Luks FI, Filiatrault D ve ark. Surgical indicationsin antenatally diagnosed ovarian cysts. J Pediatr Surg 1991;26: 276-82.
- Ikeda K, Suito S, Nakano H. Management of ovarian cyst detected antenatally. J Pediatr Surg 1988; 23: 432-5.
- Eggermont E, Lecoutere D, Devlieger H ve ark. Ovarian cysts in newborn infants. Am J Dis Child 1988; 142: 702.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Case Report |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Mart 2011 |
| Yayımlandığı Sayı | Yıl 2011Sayı: 1 |