RESUMO
PURPOSE: The aim of this study is to determine the incidence of paratubal cysts (PTCs) in a pediatric and adolescent population. METHODS: An institutional review board-approved retrospective chart review was performed between the years of 1998 and 2008 at a single children's hospital. Inclusion criteria were met if pathology reports demonstrated diagnosis of PTC, hydrosalpinx, or hydatid of morgagni. RESULTS: One hundred ten patients had confirmed diagnoses of hydatid of morgagni, hydrosalpinx, or PTC. The incidence of PTCs was 7.3%. Mean age of PTC diagnosis was 13.7 ± 2.82 years, with 12.6% diagnosed premenarchal. Mean age menarche was 11.7 ± 1.34 years among pubertal females. The age of menarche and diagnosis of PTC correlated (Pearson, 0.54) (P < .0001). There was a small correlation between body mass index and size of PTC (r = 0.36; P ≤ .001). CONCLUSION: The incidence of PTCs was 7.3% in this pediatric and adolescent population. In addition, this is the first study to confirm presence of PTCs in prepubertal females. Surgeon should be aware of these benign cysts because they are frequently a source of abdominal pain in young girls. As nonphysiologic cysts, these will not resolve spontaneously and may increase in size and/or be at risk for adnexal torsion. Ultimately, surgical management is required for definitive resolution.
Assuntos
Cisto Parovariano/epidemiologia , Doenças dos Anexos/epidemiologia , Adolescente , Índice de Massa Corporal , Criança , Comorbidade , Suscetibilidade a Doenças , Feminino , Hormônios Esteroides Gonadais/fisiologia , Hospitais Pediátricos/estatística & dados numéricos , Hospitais de Ensino/estatística & dados numéricos , Humanos , Incidência , Menarca , Obesidade/epidemiologia , Doenças Ovarianas/epidemiologia , Cisto Parovariano/diagnóstico , Cisto Parovariano/embriologia , Cisto Parovariano/cirurgia , Síndrome do Ovário Policístico/epidemiologia , Estudos Retrospectivos , Texas/epidemiologia , Anormalidade Torcional/epidemiologia , Adulto JovemRESUMO
Retroperitoneal cysts have been classified into traumatic, infective, degenerative, neoplastic, and developmental, according to their origin. This paper focuses on the developmental variety of retroperitoneal pelvic cysts, particularly those of mesothelial, mesonephric, or paramesonephric origin. Their clinical presentations depend on their location; they may be mesenteric, parovarian, or vaginal. The pathogenesis and embryologic, diagnostic, and therapeutic aspects are reviewed and a case report is presented.
Assuntos
Cistos/diagnóstico , Espaço Retroperitoneal , Cistos/embriologia , Cistos/patologia , Diagnóstico Diferencial , Feminino , Humanos , Cisto Mesentérico/diagnóstico , Cisto Mesentérico/embriologia , Cisto Mesentérico/patologia , Pessoa de Meia-Idade , Cisto Parovariano/diagnóstico , Cisto Parovariano/embriologia , Cisto Parovariano/patologia , Espaço Retroperitoneal/embriologia , Espaço Retroperitoneal/patologia , Doenças Vaginais/diagnóstico , Doenças Vaginais/embriologia , Doenças Vaginais/patologiaRESUMO
This study of 132 benign parovarian cysts and eight parovarian neoplasms demonstrated that the majority of such lesions are of paramesonephric or mesothelial origin. Furthermore, adnexal neoplasms, not histologically associated with the tube or ovary, may arise in such parovarian structures or de novo from the pelvic mesothelium.
