Ovarian masses in children and adolescents: Analysis on 146 patients
Ovarian masses in children and adolescents: Analysis on 146 patients
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DOI：
10.1016/j.jogoh.2020.101901
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发表时间：
2021-05-11
影响因子：
1.9
通讯作者：
Ozcelik, Z.
中科院分区：
文献类型：
--
作者：
Banli-Cesur, I;Tanridan-Okcu, N.;Ozcelik, Z.
目的：儿童卵巢肿块是最常见的生殖器肿瘤，且多为良性。方法：回顾性分析2012年至2018年因卵巢肿块在我院行手术治疗的18岁以下儿童卵巢肿块患者的病历资料。结果：在研究期间，146例患者（5例为双侧）进行了评价。研究患者的平均年龄为14.01 ± 4.02岁。良性107例，恶性37例，交界性2例。良性肿块最常见的症状是下腹压痛（75.7%）. 124例（86.1%）患者处于月经初潮后期。34例患者有卵巢扭转。79.5%（116/146）的患者进行了开放手术，20.5%（30/146）的患者进行了腹腔镜手术。手术中卵巢切除率为24.6%（36/146）。最常进行的外科手术是良性肿块囊肿切除术和恶性肿块卵巢切除术。在肿瘤性肿块中，盆腔肿块触诊的比例更高;而在非肿瘤性肿块中，下腹部压痛更明显。结果：儿童和青少年卵巢肿块多为良性，且多发生于月经初潮后。卵巢良性肿块扭转率为23.6%（25/107），恶性肿块扭转率为24.3%（9/37）。良性肿块最常见的症状是盆腔压痛，恶性肿块最常见的症状是盆腔可触及肿块。为了将来的生育能力和低恶性肿瘤的发生率，这些患者的首次手术应考虑卵巢保留手术。(C)2020 Elsevier Masson SAS。All rights reserved.
Purpose: Ovarian masses in pediatric population are the most common genital neoplasms, and these masses are often benign. The purpose of this study is to evaluate the pediatric ovarian masses operated in our hospital.Method: The records of patients, under the age of 18 who were operated in our hospital due to ovarian mass between 2012 and 2018 were reviewed retrospectively. Clinical findings, operational procedures, histopathologies, tumor markers and radiological images were evaluated.Findings: During the study, 146 patients (5 patients were bilateral) were evaluated. The average age of the study patients was 14.01 +/- 4.02 years. 107 of the study patients were benign, 37 were malignant and 2 were borderline. The most common symptom in benign masses was tenderness in lower abdominal (75.7 %). 124 of the patients (86.1 %) were in post-menarche period. 34 of the patients had ovarian torsion. Open surgery was conducted on 79.5 % (116/146) of the patients, and laparoscopic surgery was conducted on 20.5 % (30/146). The rate of oophorectomy was 24.6 % (36/146) throughout the operations. The most frequently conducted surgical procedure was cyst excision in benign masses and oophorectomy in malignant masses. In neoplastic masses, the ratio of pelvic mass palpation; and in non-neoplastic masses, lower abdominal tenderness was more apparent. The rate of ovarian torsion was 23.6 % (25/107) in benign masses and 24.3 % (9/37) in malignant masses.Outcomes: Pediatric and adolescent ovarian masses are mostly benign and majority of these occur at post-menarche period. The most common symptom was pelvic tenderness in benign masses, and palpable pelvic masses in malignant masses. For future fertility and low incidence of malignancy in these patients, ovarian preserving surgery should be considered for the first operation. (C) 2020 Elsevier Masson SAS. All rights reserved.