Clinical Characteristics of Adnexal Masses in Korean Children and Adolescents: Retrospective Analysis of 409 Cases

Ryoo, UiNam; Lee, Dong−Yun; Bae, Duk-Soo; Yoon, Byung-Koo; Choi, DooSeok

doi:10.1016/j.jmig.2009.12.013

Cited by 15 publications

(14 citation statements)

References 12 publications

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“…In this study, patients had abdominal pain (47.7%), palpable abdominal masses (24.6%), incidental ultrasonographic findings (4.6%), and precocious puberty (6.2%). Our results were similar to those of previous studies which reported that primary initial symptoms requiring surgeries were abdominal pain (48%-56%), abdominal palpable mass (9%-22%), incidental ultrasonographic findings (5%-15%) and precocious puberty (2%-7%)1, 4. It is thought that abdominal pain is the most common symptom of premenarchal ovarian masses.…”

Section: Discussionsupporting

confidence: 91%

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Clinicopathologic Review of Ovarian Masses in Korean Premenarchal Girls

Ki¹,

Byun²,

Choi³

et al. 2013

Int. J. Med. Sci.

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Objective: To review the clinicopathological characteristics of ovarian masses in Korean premenarchal girls.Design: The data collected from hospital medical records were reviewed retrospectively regarding age, presentation, diagnosis, treatment, and outcome.Participants: There were 65 premenarcheal girls who underwent surgery at Seoul St. Mary's Hospital between January 1990 and March 2012.Results: The most common presenting symptom was abdominal pain (n=31, 47.7%), followed by palpable abdominal masses 16 (n=16, 24.6%), abdominal distension (n=8, 12.3%), vaginal bleeding (n=4, 6.2%), incidental finding (n=3, 4.6%), difficulty in urination or defecation (n=2, 3.1%), and prenatal sonographic findings (n=1, 1.5%). Of the patients with benign tumors, including non-neoplastic lesions and benign cysts, 26 (51%) underwent cystectomy, 6 (11.8%) underwent oophorectomy, 17 (33.3%) underwent unilateral salpingo-oophorectomy and none underwent bilateral salpingo-oophorectomy. Of the patients with malignant tumors, 2 (14.3%) underwent bilateral salpingo-oophorectomy, 7 (50%) underwent unilateral salpingo-oophorectomy, 2 (14.3%) underwent oophorectomy, and 2 (14.3%) underwent cystectomy.Conclusion: Abdominal pain was the most common symptom. However, the incidence of abdominal distension was higher in patients with malignant tumors than in those with benign tumors. We assessed clinical features, operative outcomes, and histological classifications of Korean prememarchal girls with ovarian masses. Further studies with a larger number of subjects are needed to confirm our results.

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Section: Discussionsupporting

confidence: 91%

“…Patients with ovarian lesions which secrete hormones may present with pseudoprecocity, masculinization or the signs of endocrine disturbances. Some patients may have huge masses, which can cause ureteral obstructions, hydronephrosis, urinary frequency or difficulty, and bowel obstruction 1, 4-6.…”

Section: Introductionmentioning

confidence: 99%

Clinicopathologic Review of Ovarian Masses in Korean Premenarchal Girls

Ki¹,

Byun²,

Choi³

et al. 2013

Int. J. Med. Sci.

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“…However, given that BOTs are rare in the pediatric population, studies of their clinical behaviors and outcomes are limited. Borderline ovarian tumors represented approximately 2.29% of pediatric adnexal tumors that were treated surgically in our center [8]. In our series, we noted 29 patients who underwent surgery for pediatric BOTs during the last 13 years.…”

Section: Discussionmentioning

confidence: 94%

Pediatric borderline ovarian tumors: a retrospective analysis

Song

Choi

Lee

et al. 2010

Journal of Pediatric Surgery

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“…Serum data included tumor markers (CA-125, AFP, β-hCG, and CA-19.9), which were detected in all patients, except in some cases of emergency. The nature of masses was defined by histopathological features according to the WHO classification and FIGO staging criteria [5,9]. Operative treatments were classified as emergency versus nonemergency surgery in conformity with the clinical presentation.…”

Section: Methodsmentioning

confidence: 99%

“…Early detection and adequate surgical management of adnexal masses is necessary to preserve the ovary and fertility; the trend of the recent literature is toward a mostly conservative treatment using, whenever possible, laparoscopic approach [7,9,10].…”

Section: Introductionmentioning

confidence: 99%

Treatment of Ovarian Lesions in Children and Adolescents: A Retrospective Study of 130 Cases

Spinelli

Pucci

Strambi

et al. 2013

Pediatric Hematology and Oncology

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In this study, we analyze the management of ovarian masses in a total of 130 children surgically treated for 137 ovarian lesions (7 bilateral). The most frequent symptoms were chronic (52.3%) and acute (25.4%) abdominal pain. Histological examination revealed 64 (46.7%) functional lesions, 59 (43.1%) benign neoplasms, 5 (3.7%) malignant ones, and 7 (6.6%) torsed normal ovaries. Ovarian torsion occurred in 36 cases (26.27%). A conservative treatment was performed in 81 (59.1%) girls: 61 (75.3%) treated in nonemergency and 20 (24.7%) in emergency surgery; laparoscopic approach in 35 cases (43.2%); and open surgery in 46 (56.8%). The remaining 56 (40.9%) ovarian masses underwent nonconservative surgery: 40 cases (71.4%) nonemergency and 16 (28.6%) emergency; laparoscopy in 20 patients (35.7%); and open surgery in 36 (64.3%). Fertility preservation should be a goal in the surgical treatment. The management of ovarian torsion should include adnexal detorsion and recovery of the ovarian tissue. In case of benign neoplasms, laparoscopic tumorectomy should be the gold standard; in early stage malignant tumors, fertility-sparing surgery with accurate staging is preferred.

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Clinical Characteristics of Adnexal Masses in Korean Children and Adolescents: Retrospective Analysis of 409 Cases

Cited by 15 publications

References 12 publications

Clinicopathologic Review of Ovarian Masses in Korean Premenarchal Girls

Clinicopathologic Review of Ovarian Masses in Korean Premenarchal Girls

Pediatric borderline ovarian tumors: a retrospective analysis

Treatment of Ovarian Lesions in Children and Adolescents: A Retrospective Study of 130 Cases

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