Abstract
In Reply —Eggermont and colleagues propose the use of ultrasound-guided percutaneous aspiration of ovarian cysts in the neonatal period. The striking variety of location, size, and components prevents a universal therapeutic approach to the treatment of ovarian cysts. A conservative approach with sonographic reevaluation in uncomplicated cysts less than 5 cm in diameter seems indicated in the neonatal period in view of the natural tendency of these cysts to resolve spontaneously. 1 Misdiagnosis, however, is possible; cystadenomas and cystic granulosa cell tumors may mimic simple ovarian cysts. 2 Large cysts (10 to 12 cm) are more likely to undergo torsion or to rupture; hence, immediate operative intervention is preferred. Puncture of large ovarian follicular cysts guided by laparoscopy has been successfully performed. 3 Reappearance of the cyst, however, may ensue. Transabdominal puncture of ovarian cysts shares some of the drawbacks of conservative management (ie, misdiagnosis, recurrence). For large cysts, percutaneous aspiration is
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