Zusammenfassung
Die Erkrankungen des Ovars im Säuglings-, Kindes- und Jugendalter sind fast immer Zysten oder solide Raumforderungen verschiedener Dignität. Ovarialzysten sind häufige sonografische Zufallsbefunde und treten hauptsächlich in der Perinatalperiode und während oder nach der Pubertät auf. Bei Säuglingen und Kleinkindern sind die Ovarien noch in der Bauchhöhle und wandern erst in der Pubertät in das kleine Becken. Seit ihrer Erstbeschreibung vor >40 Jahren (Valenti et al. 1975) sind Ovarialzysten die am häufigsten diagnostizierten zystischen Abdominaltumoren und ihr Management ist bis heute teilweise kontrovers. Da die klinischen Charakteristika und das Management je nach Altersgruppe verschieden sind, werden sie separat dargestellt.
Literatur
Agopiantz M, Journeau P et al (2016) McCune-Albright syndrome, natural history and multidisciplinary management in a series of 14 pediatric cases. Ann Endocrinol (Paris) 77(1):7–13
Arena F, Romeo C et al (2008) Is the stripping technique a tissue-sparing procedure in large simple ovarian cysts in children? J Pediatr Surg 43(7):1353–1357
Bagolan P, Giorlandino C et al (2002) The management of fetal ovarian cysts. J Pediatr Surg 37(1):25–30
Bednarska S, Siejka A (2017) The pathogenesis and treatment of polycystic ovary syndrome: whatʼs new? Adv Clin Exp Med 26(2):359–367
Bryant A, Laufer M (2004). Fetal ovarian cysts: incidence, diagnosis and management. J Reprod Med 49(5): 329–337
Casey R, Damle L et al (2013) Isolated fallopian tube torsion in pediatric and adolescent females: a retrospective review of 15 cases at a single institution. J Pediatr Adolesc Gynecol 26(3):189–192
Catania V, Briganti V et al (2016) Fetal intra-abdominal cysts: accuracy and predictive value of prenatal ultrasound. J Matern Fetal Neonatal Med 29(10):1691–1699
Coyle D, Kutasy B et al (2016) Gonadoblastoma in patients with 45,X/46,XY mosaicism: a 16-year experience. J Pediatr Urol 12(5):283.e281–283.e287
deSa D (1975) Follicular ovarian cysts in stillbirths and neonates. Arch Dis Child 50(1):45–50
Emeksiz H, Derinöz O et al (2017) Age-specific frequencies and characteristics of ovarian cysts in children and adolescents. J Clin Res Pediatr Endocrinol 9(1):58–62
Enríquez G, Durán C et al (2005) Conservative versus surgical treatment for complex neonatal ovarian cysts: outcomes study. AJR Am J Roentgenol 185(2):501–508
Fremed M, Levin T et al. (2015) Ovary preservation in the treatment of childhood Meigs syndrome. Pediatr Blood Cancer 62(11):2011–2014
Giorlandino C, Bilancioni E et al. (1994) Antenatal ultrasonographic diagnosis and management of fetal ovarian cysts. Int J Gynaecol Obstet 44(1):27–31
Godfrey H, Abernethy L et al (1998) Torsion of an ovarian cyst mimicking enteric duplication cyst on transabdominal ultrasound: two cases. Pediatr Radiol 28(3):171–173
Hayashi S, Abe Y et al (2015) Primary non-gestational pure choriocarcinoma arising in the ovary: a case report and literature review. Oncol Lett 9(5):2109–2111
Heo SH, Kim JW et al (2014) Review of ovarian tumors in children and adolescents: radiologic-pathologic correlation. RadioGraphics 34(7):2039–2055
Herruzo A, Redondo E et al (1990) Ovarian sex cord tumor with annular tubules and Peutz-Jeghers syndrome. Eur J Gynaecol Oncol 11(2):141–144
Kathrins M, Kolon T (2016) Malignancy in disorders of sex development. Transl Androl Urol 5(5):794–798
Kirkham Y, Kives S (2012) Ovarian cysts in adolescents: medical and surgical management. Adolesc Med State Art Rev 23(1):178–191, xii
Kurman R, Norris H (1976) Embryonal carcinoma of the ovary: a clinicopathologic entity distinct from endodermal sinus tumor resembling embryonal carcinoma of the adult testis. Cancer 38(6):2420–2433
Lee H, Woo S et al (2000) Daughter cyst sign: a sonographic finding of ovarian cyst in neonates, infants, and young children. AJR Am J Roentgenol 174(4):1013–1015
Meinhold-Heerlein I, Fotopoulou C et al (2016) The new WHO classification of ovarian, fallopian tube, and primary peritoneal cancer and its clinical implications. Gynecol Obstet 293(4):695–700
Monnery-Noché M, Auber F et al (2008) Fetal and neonatal ovarian cysts: is surgery indicated? Prenat Diagn 28(1):15–20
Morowitz M, Huff D et al (2003) Epithelial ovarian tumors in children: a retrospective analysis. J Pediatr Surg 38(3):331–335
Nasioudis D, Chapman-Davis E et al (2017) Management and prognosis of ovarian yolk sac tumors; an analysis of the National Cancer Data Base. Gynecol Oncol S0090-8258(17):31251–31259
Oue T, Uehara S et al (2015) Treatment and ovarian preservation in children with ovarian tumors. J Pediatr Surg 50(12):2116–2118
Papic J, Billmire D et al (2014a) Management of neonatal ovarian cysts and its effect on ovarian preservation. J Pediatr Surg 49(6):990–993; discussion 993–994. https://doi.org/10.1016/j.jpedsurg.2014.01.040
Papic J, Finnell S et al (2014b) Predictors of ovarian malignancy in children: overcoming clinical barriers of ovarian preservation. J Pediatr Surg 49(1):144–147
Park S, Kim J et al (2008) Imaging findings of complications and unusual manifestations of ovarian teratomas. Radiographics 28(4):969–983
Péroux E, Franchi-Abella S et al (2015) Ovarian tumors in children and adolescents: a series of 41 cases. Diagn Interv Imaging 96(3):273–282
Pienkowski C, Cartault A et al (2012) Ovarian cysts in prepubertal girls. Endocr Dev 22:101–111
Prat J, F. C. o. G. Oncology (2015) FIGO’s staging classification for cancer of the ovary, fallopian tube, and peritoneum: abridged republication. J Gynecol Oncol 26(2):87–89
Quinn S, Erickson S et al (1985) Cystic ovarian teratomas: the sonographic appearance of the dermoid plug. Radiology 155(2):477–478
Reichard K (2011) Ovarian tumors. In: Mattei P (Hrsg) Fundamentals of pediatric surgery. Springer, New York, S 441–453
Shanbhogue A, Shanbhogue D et al (2010) Clinical syndromes associa.ted with ovarian neoplasms: a comprehensive review. Radiographics 30(4):903–919
Stankovic Z, Djukic M et al (2006) Pre-operative differentiation of pediatric ovarian tumors: morphological scoring system and tumor markers. J Pediatr Endocrinol Metab 19(10):1231–1238
Taskinen S, Urtane A et al (2014) Metachronous benign ovarian tumors are not uncommon in children. J Pediatr Surg 49(4):543–545
Trinh T, Kennedy A (2015) Fetal ovarian cysts: review of imaging spectrum, differential diagnosis, management, and outcome. Radiographics 35(2):621–635
Valenti C, Kassner E et al. (1975) Antenatal diagnosis of a fetal ovarian cyst. Am J Obstet Gynecol 123(2):216–219
Vitaliani R, Mason W et al (2005) Paraneoplastic encephalitis, psychiatric symptoms, and hypoventilation in ovarian teratoma. Ann Neurol 58(4):594–604
Zampieri N, Mantovani A et al. (2014) Neonatal surgery for giant floating abdominal cysts in females: clinical and surgical management. J Pediatr Adolesc Gynecol 27(5):271–273
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Ludwikowski, B. (2019). Zysten und Raumforderungen des Ovars bei Mädchen. In: von Schweinitz, D., Ure, B. (eds) Kinderchirurgie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53390-1_81-1
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