Demoid cyst in a 4.5yr old??

[rani_ki_ma]

I just got report about my neice and I am in shock, she had acute abdomenal pain, and an U/S showed a 11cm cyst, how does this happen, removing it through surgery is the only way to go?? do they have to remove the overies??

I am just in shock and confused
Please help

[Morrowville]

Your breadth of knowledge and research continually amazes me.

God Bless you, Marty!

Morrowville

[SimplyStar]

Benign dermoid ovarian cysts uncommonly cause symptoms in young girls. It is estimated that they constitute 0.35% of all tumors occurring in children of both sexes less than 15 years of age.

Symptoms produced by the cysts may mimic other intra-abdominal disease, and in three of the four cases reported in this series the girls were initially considered to have either acute appendicitis or infection of the urinary tract. All three had a pelvic mass palpable per rectum. The fourth girl was found to have bilateral calcified densities in the ovaries when examined roentgenographically for low back pain.

In three of the four children, calcified or ossified material in the pelvis was seen in roentgenograms of the lower abdomen, and this finding was considered by the radiologist to be indicative of ovarian dermoid cyst.

In two patients the cysts and associated Fallopian tubes had undergone torsion with infarction, and salpingo-oophorectomies were performed. In one girl, a simple oophorectomy was carried out, and, in the fourth child with bilateral dermoids, a bilateral ovarian cystectomy with preservation of tubes and as much ovarian tissue as possible was performed.

All four girls have subsequently made satisfactory progress.

[marie3B]

You might want to post this in the ovarian cyst community forum. I know of 2 women there with dermoids that will know more than myself. Good luck, Marie