Bosnalı Oktav, Moralıoğlu Serdar, Cerrah-Celayir Ayşenur
Department of Pediatric Surgery, Zeynep Kamil Maternity and Children's Training and Research Hospital, İstanbul, Turkey.
Turk J Pediatr. 2016;58(3):266-270. doi: 10.24953/turkjped.2016.03.006.
A retrospective analysis was conducted on the case files of patients operated on for adnexal pathology between January 2004 and December 2015 at our institution. The data of the patients with a diagnosis of paratubal cysts (PTCs) was extracted. A total of eighty-seven children were operated on for adnexal pathology. Twenty-six (29.9%) patients had PTCs. The patients were predominantly grouped as adolescents (n=22) and newborns (n=3). One of the patients was a pre-pubertal girl. Of the 26 PTC cases, 18 of them occurred on the contralateral side to ovarian pathology (OP) or physiologic ovarian changes (POC) such as corpus luteum cyst or follicular cyst which their final diagnosis confirmed by histopathology examination; in one case, the PTCs were bilateral; and in three cases, PTCs were ipsilateral with OP or POC. There were only 4 solitary PTC cases identified among the 26 cases. Paratubal cysts can be observed at every age, even in newborns. Their association with OP or POC in childhood cases needs to be clarified to further understand the hormonal mechanisms that are influencing the occurrence of these cysts.
对2004年1月至2015年12月在我院因附件病变接受手术的患者病历进行回顾性分析。提取诊断为输卵管旁囊肿(PTC)患者的数据。共有87例儿童因附件病变接受手术。26例(29.9%)患者患有PTC。患者主要分为青少年(n = 22)和新生儿(n = 3)。其中1例患者为青春期前女孩。在26例PTC病例中,18例发生在卵巢病变(OP)或生理性卵巢变化(POC)如黄体囊肿或滤泡囊肿的对侧,其最终诊断经组织病理学检查证实;1例PTC为双侧;3例PTC与OP或POC同侧。26例病例中仅发现4例孤立性PTC病例。输卵管旁囊肿可见于各年龄段,甚至新生儿。在儿童病例中,它们与OP或POC的关联需要进一步阐明,以深入了解影响这些囊肿发生的激素机制。