Abstract:
Purpose: Ovarian tumors (OT) in pediatric patients are
quite rare. The aim was to study the structure, particularities
of the diagnosis and surgical treatment of OT in pediatric
patients.
Methods: The database (n=132) of OT was studied in
children and adolescents, operated between 2000 and
2019.
Results: The mean age of patients with OT was 16.1±0.2
years (95% CI:15.64–16.41), including in 5(3.8%) cases the
patients were in premenarhal status. According to the
radiological methods, the maximum dimensions of the OT
were 9.9±0.4 cm (3.8-32.1), and the minimum - 7.9±0.3 cm
(2.6-26.5) and the volume - 624.8±106.3 cm3. By size OT
they were referred to the large (> 8 cm) in 64(48.5%) cases
and giant (> 15 cm) - 14(10.6%). The USG "morphological"
index was 5.5±0.2 (2-10), and the score ≥ 5 was in
98(74.2%) cases. Surgery was performed by laparotomy
(75.8%) and laparoscopy (24.2%). By volume,
tumorectomies with ovarian tissue preservation -
105(76.1%), anexectomies - 23(16.7%), ovarectomies -
9(6.5%) and partial resection of the ovaries - 1(0.7%).
Tumorectomies were performed more frequently via
laparoscopy compared to laparotomies - 93.8% vs. 75%
(p<0.05). At the histological examination was established
that in 94.2% OT cases were benign, and malignant and
borderline - 5.8%. Relapses in the late postoperative period
were in 5(4.7%) cases.
Conclusions: In pediatric patients more commonly benign
OT are encountered. In more than half of the cases, OT are
large and giant. In most cases it is possible to perform
tumorectomies with preservation of ovarian tissue.
Description:
Department of surgical gynecology, Imaging Department, Morphopathology Department,
IMSP Institute of Mother and Child, Chisinau, Republic of Moldova
