Author/Authors :
De Sanctis, Vincenzo Pediatric and Adolescent Outpatient Clinic - Quisisana Hospital, Ferrara, Italy , Soliman, Ashraf T Department of Pediatrics - Division of Endocrinology - Alexandria University Children’s Hospital, Alexandria, Egypt , Elsedfy, Heba Department of Pediatrics - Ain Shams University, Cairo, Egypt , Soliman, Nada A Ministry of Health, Alexandria, Egypt , Elalaily, Rania Department of Primary Health Care - Abu Nakhla Hospital, Doha, Qa-tar , Di Maio, Salvatore “Santobono-Pausilipon” Hospital, Naples, Italy , Ahmed, Alaa Y Department of Pediatrics - Ain Shams University, Cairo, Egypt , Millimaggi, Giuseppe Radiology Clinic - Quisisana Hospital, Ferrara, Italy
Abstract :
Paraovarian cysts or paratubal cysts (PTCs) arise from either the mesothelium or from parame-sonephric remnants. These present as either adnexal mass or as an incidental finding. Diagnosis is usually established on ultrasound and it is important to differentiate these from ovarian cysts. Typically PCTs ap-pear as simple cysts by ultrasound and are indistinguishable from ovarian cysts if one does not recognize the extraovarian location. Occasionally, PTCs have internal echoes due to hemorrhage. PTCs are usually asymp-tomatic and benign. The differential diagnosis includes a simple ovarian cyst, peritoneal inclusion cyst and hy-drosalpinx. Malignant changes have been reported in about 2% to 3%, and it should be suspected if papillary projections are present. PTCs management depend upon the presence and severity of the symptoms, the cyst size and US characteristics, CA 125 results, age of the patient and the risk of malignancy. Simple PTCs can be expected to regress and may be managed expectantly. When surgery is indicated, a joint multidisciplinary management by the paediatric surgeons and trained paediatric gynaecologists should be the gold standard. (www.actabiomedica.it)
Keywords :
paraovarian cysts , paratubal cysts , diagnosis , treatment , complications
