{"title":"胎儿卵巢囊肿的结局分析：单中心经验。","authors":"Yulan Pang, Haitao Zhou, Mengfeng Liang, Weihan Li, Guican Qin, Zuojian Yang, Qiaorui Lu, Juansong Tang, Jian Pang, Yingfei Wang, Shuihua Yang, Jing Huang","doi":"10.1002/jcu.24004","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To analyze the ultrasound manifestations of ovarian cysts with different outcomes and explore the postnatal characteristics of fetal ovarian cyst torsion.</p><p><strong>Methods: </strong>A total of 74 cases of fetal ovarian cysts identified among 137 358 fetuses undergoing prenatal ultrasound examination and postnatal management in our hospital from January 2016 to September 2024 were retrospectively analyzed. Among them, 15 cases underwent postnatal ultrasound review and surgical confirmation. Based on the surgical results, these cases were divided into three groups: four cases of simple ovarian cysts (Simple Group), four cases of hemorrhagic ovarian cysts (Hemorrhage Group), and seven cases of ovarian cyst torsion (Torsion Group). The prenatal and postnatal sonographic features of these three groups were summarized and compared.</p><p><strong>Results: </strong>The simple group showed thin, smooth walls and good internal echogenicity on both prenatal and postnatal ultrasound. The torsion group and hemorrhage group exhibited complex cystic features on prenatal ultrasound, lacking specific characteristics. Postnatal ultrasound in the torsion group, in addition to the features of complex cysts, also showed residual ovarian stromal edema, the \"Squasar\" sign, and/or changes in cyst position.</p><p><strong>Conclusion: </strong>It is difficult to differentiate between hemorrhagic ovarian cysts and ovarian cyst torsion during fetal development. Immediate postnatal ultrasound review is necessary. The presence of residual ovarian stromal edema, the \"Squasar\" sign, or changes in cyst position should raise a high suspicion of ovarian cyst torsion.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.4000,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Outcome Analysis of Fetal Ovarian Cysts: A Single Center Experience.\",\"authors\":\"Yulan Pang, Haitao Zhou, Mengfeng Liang, Weihan Li, Guican Qin, Zuojian Yang, Qiaorui Lu, Juansong Tang, Jian Pang, Yingfei Wang, Shuihua Yang, Jing Huang\",\"doi\":\"10.1002/jcu.24004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To analyze the ultrasound manifestations of ovarian cysts with different outcomes and explore the postnatal characteristics of fetal ovarian cyst torsion.</p><p><strong>Methods: </strong>A total of 74 cases of fetal ovarian cysts identified among 137 358 fetuses undergoing prenatal ultrasound examination and postnatal management in our hospital from January 2016 to September 2024 were retrospectively analyzed. Among them, 15 cases underwent postnatal ultrasound review and surgical confirmation. Based on the surgical results, these cases were divided into three groups: four cases of simple ovarian cysts (Simple Group), four cases of hemorrhagic ovarian cysts (Hemorrhage Group), and seven cases of ovarian cyst torsion (Torsion Group). The prenatal and postnatal sonographic features of these three groups were summarized and compared.</p><p><strong>Results: </strong>The simple group showed thin, smooth walls and good internal echogenicity on both prenatal and postnatal ultrasound. The torsion group and hemorrhage group exhibited complex cystic features on prenatal ultrasound, lacking specific characteristics. Postnatal ultrasound in the torsion group, in addition to the features of complex cysts, also showed residual ovarian stromal edema, the \\\"Squasar\\\" sign, and/or changes in cyst position.</p><p><strong>Conclusion: </strong>It is difficult to differentiate between hemorrhagic ovarian cysts and ovarian cyst torsion during fetal development. Immediate postnatal ultrasound review is necessary. The presence of residual ovarian stromal edema, the \\\"Squasar\\\" sign, or changes in cyst position should raise a high suspicion of ovarian cyst torsion.</p>\",\"PeriodicalId\":15386,\"journal\":{\"name\":\"Journal of Clinical Ultrasound\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-06-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Clinical Ultrasound\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/jcu.24004\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ACOUSTICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Ultrasound","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/jcu.24004","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ACOUSTICS","Score":null,"Total":0}
Outcome Analysis of Fetal Ovarian Cysts: A Single Center Experience.
Objective: To analyze the ultrasound manifestations of ovarian cysts with different outcomes and explore the postnatal characteristics of fetal ovarian cyst torsion.
Methods: A total of 74 cases of fetal ovarian cysts identified among 137 358 fetuses undergoing prenatal ultrasound examination and postnatal management in our hospital from January 2016 to September 2024 were retrospectively analyzed. Among them, 15 cases underwent postnatal ultrasound review and surgical confirmation. Based on the surgical results, these cases were divided into three groups: four cases of simple ovarian cysts (Simple Group), four cases of hemorrhagic ovarian cysts (Hemorrhage Group), and seven cases of ovarian cyst torsion (Torsion Group). The prenatal and postnatal sonographic features of these three groups were summarized and compared.
Results: The simple group showed thin, smooth walls and good internal echogenicity on both prenatal and postnatal ultrasound. The torsion group and hemorrhage group exhibited complex cystic features on prenatal ultrasound, lacking specific characteristics. Postnatal ultrasound in the torsion group, in addition to the features of complex cysts, also showed residual ovarian stromal edema, the "Squasar" sign, and/or changes in cyst position.
Conclusion: It is difficult to differentiate between hemorrhagic ovarian cysts and ovarian cyst torsion during fetal development. Immediate postnatal ultrasound review is necessary. The presence of residual ovarian stromal edema, the "Squasar" sign, or changes in cyst position should raise a high suspicion of ovarian cyst torsion.
期刊介绍：
The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography.
The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents.
JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.
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