Ovarian-Sparing Surgery in Pediatric Benign Ovarian Tumors.
J Pediatr Adolesc Gynecol
; 29(5): 506-510, 2016 Oct.
Article
em En
| MEDLINE
| ID: mdl-27079914
ABSTRACT
STUDY OBJECTIVE:
To evaluate outcomes of children after ovarian-sparing surgery (OSS) for non-neoplastic and benign neoplastic ovarian lesions.DESIGN:
Retrospective cohort study from January 2003 to January 2012.SETTING:
Single, high-volume, tertiary care hospital.PARTICIPANTS:
Children 18 years of age and younger.INTERVENTIONS:
None. MAIN OUTCOMEMEASURES:
Postoperative complications and tumor recurrence after OSS.RESULTS:
One hundred nine patients underwent OSS with a median age of 13.3 years (interquartile range [IQR], 11.4-15.1 years). Eighty-two patients were treated laparoscopically with 4 conversions to an open procedure. Postoperative complications included surgical site infections in 7 patients (6%). Pathology most commonly revealed functional ovarian cysts (n = 57) and mature teratomas (n = 37). Ninety-four patients (86%) were followed for a median of 10.4 months (IQR, 0.72-30.8 months). Fifty-five patients (60%) had subsequent imaging surveillance a median of 7.6 months postoperatively (IQR, 3.9-13 months). Ten patients (10%) developed a second ipsilateral lesion within a median time of 11 months (IQR, 7.7-24 months), of whom 5 girls had repeated surgery for mass enlargement or persistent abdominal pain at a median time of 10.5 months (IQR, 8.0-12.65 months). Fifty-eight patients (63%) began or resumed menses at their most recent follow-up. Three girls became pregnant after OSS at a median follow-up of 5 years (range, 2.4-6.7 years).CONCLUSION:
Benign ovarian lesions in children can be treated successfully with OSS with low recurrence and repeat surgery rates.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Ovarianas
/
Ovário
/
Tratamentos com Preservação do Órgão
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article