Thirty-eight cases of paraovarian cysts in children and adolescents: a retrospective study
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In brief
In brief
This retrospective study of 38 pediatric paraovarian cyst cases found that 65.8% presented with adnexal torsion, with cyst size rather than BMI predicting torsion risk. B-ultrasound showing cyst-uterus deviation aids preoperative diagnosis, and laparoscopic cystectomy achieved favorable outcomes with no recurrence during follow-up.
Written by the GCMD Library team from the article.
Abstract
Purpose
Paraovarian cysts in children and adolescents can be challenging to accurately diagnose prior to surgery. Our objective is to outline the clinical characteristics of paraovarian cysts and enhance the precision of diagnosing paraovarian cysts in this age group.
Methods
We retrospectively analyzed all patients with paraovarian cysts who underwent surgery in our department from 2013 to 2021. The review focused on demographic characteristics, clinical manifestations, intraoperative findings, and postoperative pathology of these patients.
Results
This cohort was composed of 38 children with paraovarian cysts. The average diameter of the cysts was 4.8 cm (range 0.5-10 cm). Among the cases, 25 (65.8%) had adnexal torsion. Postoperative pathology showed that all cases were simple cysts with serous fluid. After the procedure, the patients were monitored for a period ranging from 12 to 108 months. B-ultrasound and physical examination did not reveal any significant abnormalities.
Conclusions
B-ultrasound can help diagnose paraovarian cysts by detecting slight deviation movement between the cyst and the uterus. The presence of adnexa torsion in children and adolescents with paraovarian cysts does not depend on BMI, but rather on the size of cysts. Laparoscopic cyst removal has proven to be an effective surgical approach with favorable outcomes.