Turgal Mert, Ozyuncu Ozgur, Yazicioglu Aslihan
Department of Obstetrics and Gynecology, Hacettepe University, School of Medicine , Ankara , Turkey.
J Matern Fetal Neonatal Med. 2013 Nov;26(17):1728-32. doi: 10.3109/14767058.2013.799652. Epub 2013 May 23.
Fetal ovarian cysts (FOCs) are the most common intra-abdominal cystic structures formed during antenatal period. The aim of this study was to evaluate prenatal characteristics and postnatal outcome of sonographically suspected FOCs.
We reviewed prenatal sonographic data and postnatal medical records of 29 fetuses that were suspected to have ovarian cysts in our hospital, between January 2001 and September 2012. Perinatal outcomes were obtained for all cases.
In a total of 29 cases, we confirmed initial antenatal diagnosis of ovarian cyst in 20 cases (68.9%) at postnatal period. Diagnosis of remaining nine cases revealed urogenital sinus anomaly in four cases, multicystic dysplastic kidney in two cases, mesenteric cyst in one case, intestinal duplication cyst in one case and lymphangioma in one case postnatally. In seven of the 20 ovarian cysts (35%), resolution of the cyst occurred prenatally. Intrauterine death of a fetus occurred at second trimester. In the postnatal period, most often cases (11/20) were spontaneously resolved and surgery was performed on two babies due to ovarian torsion (2/20).
Differential diagnosis of FOCs should always include genitourinary tract disorders, gastrointestinal tract disorders and other intra-abdominal cystic structures.
胎儿卵巢囊肿（FOCs）是孕期形成的最常见的腹腔内囊性结构。本研究旨在评估超声怀疑为FOCs的胎儿的产前特征及产后结局。
我们回顾了2001年1月至2012年9月期间我院29例疑似患有卵巢囊肿的胎儿的产前超声数据及产后病历。获取了所有病例的围产期结局。
29例病例中，产后确诊20例（68.9%）最初产前诊断为卵巢囊肿。其余9例产后诊断为：4例泌尿生殖窦畸形、2例多囊性发育不良肾、1例肠系膜囊肿、1例肠重复囊肿和1例淋巴管瘤。20例卵巢囊肿中有7例（35%）在产前囊肿消退。1例胎儿在孕中期发生宫内死亡。产后，大多数病例（11/20）囊肿自发消退，2例因卵巢扭转接受手术（2/20）。
FOCs的鉴别诊断应始终包括泌尿生殖道疾病、胃肠道疾病及其他腹腔内囊性结构。
