Pediatric endocrinology

Clinical course of peripheral precocious puberty in girls due to autonomous ovarian cysts

Clin Endocrinol (Oxf)Published Retrospective study

Authors' conclusion

Most ovarian cysts in PPP spontaneously disappear. However, this could be one of the findings of MAS. Some girls progress from PPP to CPP. Therefore, follow-up is necessary for ovarian cysts in patients with PPP. The recurrence of ovarian cysts may occur when spontaneous regression is prolonged.

Study context

Population
Girls with peripheral precocious puberty (PPP) due to ovarian cysts, with or without McCune-Albright syndrome (MAS), diagnosed January 2003–May 2022
Participants
12 participants
Outcome
Clinical course of ovarian cysts in PPP

Main finding

As reported in the abstract

Episodes of ovarian cysts
18
Median ovarian cyst size
27.5 mm
Girls diagnosed with MAS
5
Median time to spontaneous regression
6 months
Progressed to central precocious puberty (CPP)
4 out of 12 girls
Recurrence of ovarian cysts among girls progressing to CPP
3

Observational data: associations, not effects.

Further findings

Difference in peak luteinizing hormone (LH) in gonadotropin-releasing hormone (GnRH) stimulation test and period to cyst regression between non-recurrent and recurrent groups

Original publication

Clinical course of peripheral precocious puberty in girls due to autonomous ovarian cysts. Clin Endocrinol (Oxf). Published 29 June 2023. doi:10.1111/cen.14943

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