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Ovarian cysts in prepubertal girls.
[aromatase deficiency]
Visualization
of
follicles
is
perfectly
physiological
during
childhood
,
their
diameter
generally
does
not
exceed
10
mm
.
Ovarian
cyst
in
childhood
is
well
defined
for
a
fluid
image
>
20
mm
.
Generally
mild
and
asymptomatic
,
ovarian
cysts
are
fluid
formations
usually
discovered
incidentally
by
ultrasound
.
Some
are
hormonally
active
and
cause
the
development
of
sexual
characteristics
.
The
natural
history
of
functional
cysts
is
eventual
regression
,
and
persistence
is
suggestive
of
organic
tumor
.
The
onset
of
pain
is
a
sign
of
complication
,
and
an
abrupt
sharp
pain
with
vomiting
is
suggestive
of
ovarian
torsion
,
in
which
case
surgical
intervention
is
urgent
.
In
all
cases
,
the
diagnosis
is
based
on
pelvic
ultrasound
.
MRI
and
tumor
marker
assays
are
required
to
determine
the
nature
of
an
organic
cyst
before
proceeding
to
surgery
.
These
cysts
may
appear
functional
from
the
fetal
period
onward
and
will
require
management
from
the
first
days
of
life
.
Certain
endocrine
disorders
such
as
precocious
puberty
,
hypothyroidism
,
and
aromatase
deficiency
cause
functional
cysts
in
girls
.
Recurrent
bleeding
is
due
to
hormonally
active
cysts
and
suggests
McCune-Albright
syndrome
.
Although
the
persistence
of
a
cyst
suggests
a
neoplasm
,
a
fluid
character
indicates
benignity
.
Imagery
is
a
useful
aid
in
the
diagnosis
of
epithelial
tumors
(
cystadenomas
)
or
teratoma
(
dermoid
cyst
)
.
Diseases
Validation
Diseases presenting
"teratoma"
symptom
aromatase deficiency
coats disease
congenital diaphragmatic hernia
cushing syndrome
dedifferentiated liposarcoma
megacystis-microcolon-intestinal hypoperistalsis syndrome
well-differentiated liposarcoma
x-linked adrenoleukodystrophy
This symptom has already been validated