Authors
-
Federica Bianchi
Pediatric Surgery Unit, Departments of Pediatrics, Hospital de la Santa Creu y Sant Pau, Barcelona, Spain.
Author
-
Carlos Leganés Villanueva
Pediatric Surgery Unit, Department of Pediatrics, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain
Author
-
Nuria Brun Lozano
Pediatric Surgery Unit, Department of Pediatrics, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain
Author
-
Ilaria Goruppi
Pediatric Surgery Unit, Department of Pediatrics, Hospital del Mar, Parc de Salut Mar, Universitat Autònoma de Barcelona, Barcelona, Spain
Author
-
Sandra Ortigosa Gómez
Pediatric Unit, Department of Pediatrics, Hospital del Mar, Parc de Salut Mar, Universitat Autònoma de Barcelona, Barcelona, Spain
Author
-
María Ángeles López Vilchez
Pediatric Unit, Department of Pediatrics, Hospital del Mar, Parc de Salut Mar, Universitat Autònoma de Barcelona, Barcelona, Spain
Author
Keywords:
Ovarian Cysts, central precocious puberty
Abstract
Precocious puberty (PP) is defined by development of secondary sexual characteristics before eight years old in girls. Autonomous ovarian follicular cysts in prepubertal girls are rare but the most common cause of gonadotropin-independent PP. Current management is debated.
We report a case of PP due to an autonomous ovarian cyst in a 3-year-old girl with a month history of vaginal bleeding and breast development; the patient underwent surgical intervention.
There is no consensus as to the superiority of surgical versus pharmaceutical management in the autonomous ovarian cysts in prepubertal girls. Surgical management should be deferred as long as possible to permit a spontaneous resolution of cysts. If a surgical intervention is made, conservation of normal ovarian tissue is mandatory.
Author Biography
-
Federica Bianchi, Pediatric Surgery Unit, Departments of Pediatrics, Hospital de la Santa Creu y Sant Pau, Barcelona, Spain.
Federica Bianchi, Pediatric Surgery Unit, Departments of Pediatrics, Hospital de la Santa Creu y Sant Pau, Barcelona, Spain.
