Ovarian cysts in pregnancy
Less than 5% of ovarian cysts in pregnancy require intervention as most resolve. Complex cysts need further investigations. The indications for removal of ovarian cysts in pregnancy are symptomatic relief or suspicion of malignancy.
The most common benign ovarian tumours associated with pregnancy are dermoid cysts (mature cystic teratomas) which constitute approximately 50% of cases followed by cystadenomas.
Torsion may occur during pregnancy – most commonly in the 1st trimester or immediately post-partum.
Conservative management of ovarian cysts in pregnancy is appropriate. The indications for removal of ovarian cysts in pregnancy are symptomatic relief or suspicion of malignancy.
Those with cysts of >5cm or complex components need a follow up ultrasound at 4 weeks post partum.
Ovarian cysts in children
Ovarian tumors represent 1.5% of childhood malignancy (Horejsí et al 2003). Most ovarian tumors in paediatric population are benign. The most common benign lesions are epithelial cysts and teratomas, whereas, germ cell tumors are the most common malignancy. The most common complication of ovarian cysts in children is torsion as it was reported in approximately 33% of cases (Sorinola et al 2002).