Ovarian masses in children: A review of 91 cases of malignant and benign masses

Brown, Mark F.; Hebra, André; McGeehin, Kathleen; Ross, Arthur J.

doi:10.1016/0022-3468(93)90700-u

Cited by 157 publications

(103 citation statements)

References 8 publications

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“…Las lesiones anexiales en niñas y adolescentes son poco comunes (1,2). En nuestra serie, no representan más del 3 a 4% de todos los tumores anexiales con indicación quirúrgica en la mujer.…”

Section: Discussionunclassified

“…Las lesiones del ovario incluyen tanto lesiones neoplásicas como no neoplásicas y representan una amplia gama de patologías desde quistes funcionales hasta tumores altamente agresivos (2).…”

Section: Introductionunclassified

“…Tradicionalmente se considera que el 35% de las lesiones ováricas a esta edad son malignas, correspondiendo aproximadamente entre 1% y 1,5% de todos los cánceres infantiles (2)(3)(4)(5). Estas lesiones pueden manifestarse tanto por dolor abdominal, como por el hallazgo al examen de un tumor palpable o por alteraciones endocrinas como la pubertad precoz (6).…”

Section: Introductionunclassified

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Tumores Anexiales en Niñas Y Adolescentes: Experiencia Del Hospital Clínico De La Universidad Católica De Chile, 1991-2003

et al. 2006

Rev. chil. obstet. ginecol.

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RESUMENSe analiza retrospectivamente la experiencia de los últimos 13 años en el manejo de la patología anexial quirúrgica en niñas y adolescentes menores de 19 años. Se revisa la forma de presentación clínica y los hallazgos anatopatológicos de 106 pacientes. Del total de lesiones anexiales, un 62% correspondieron a lesiones neoplásicas benignas y malignas, la mayoría de ellas originadas en el ovario. El riesgo de malignidad para las lesiones neoplásicas fue de un 26,7%. La neoplasia ovárica benigna más frecuente fue el teratoma maduro (31,1%). Las neoplasias malignas más frecuentes fueron las originadas en el estroma gonadal específico y en el tejido germinal (en conjunto 37,5% del total de neoplasias malignas). La forma de presentación clínica más frecuente fue el dolor abdominal habitualmente como manifestación de complicación de una neoplasia benigna. La vía de abordaje más frecuente fue por laparotomía y se privilegió la cirugía conservadora para preservar el potencial reproductivo. PALABRAS CLAVES: Adolescencia, infancia, tumores ováricos, patología anexial SUMMARYA retrospective analysis of a thirteen years experience in the surgical management of adnexal mass in girls and teenagers younger than 19 years old was done. We reviewed the clinical course and pathological findings of 106 patients. A 62% of adnexal masses were due to neoplasic formation, the majority of them originated in the ovary. Among the neoplasic lesions, the risk of malignacy was 26.7%. The most frequent benign ovarian neoplasia was the mature teratoma (31.1%). The two more frequent malignant neoplasias were those originated at the specific gonadal stroma and at germinal tissues (together representing 37.5% of malignant tumors). The most frequent symptom of clinical presentation was abdominal pain, as manifestation of a complicated benign neoplasic lesion. The most frequently used surgical approach was laparotomy. The main goal was privileging conservative management to preserve the reproductive potential.

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Section: Discussionunclassified

Section: Introductionunclassified

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Tumores Anexiales en Niñas Y Adolescentes: Experiencia Del Hospital Clínico De La Universidad Católica De Chile, 1991-2003

et al. 2006

Rev. chil. obstet. ginecol.

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“…It has been reported that 40% -50% of childhood ovarian masses are nonneopalastic, and the majority of ovarian neoplasms in children arise from germ cells [1,2]. A small proportion of ovarian tumors in children (approximately 15% -20%) is derived from the ovarian epithelium.…”

Section: Introductionmentioning

confidence: 99%

Huge mucinous borderline ovarian cystadenoma in a premenarchal girl

Horiuchi¹,

Kameoka²,

Sato³

et al. 2012

OJPed

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Epithelial ovarian tumors are common in adult women, but rare in children. Especially mucinous ovarian cystadenoma is extremely rare, with only 16 cases in premenarchal girls reported to date. We present a case of 12-year-old premenarchal girl with symptoms of lower abdominal distension. CT showed a large multilocular tumor spreading throughout the entire abdominal cavity from the right upper quadrant to the pelvic cavity. The tumor was brought out little by little with aspiration of the fluid contents with a small incision. The tumor was found to originate from the left ovary, and oophorectomy was performed. The tumor measured 26 × 18 cm and weighed 5860 g. Histological diagnosis was mucinous ovarian cystadenoma with borderline malignancy. No evidence of recurrence had been seen as of 2 years postoperatively. In the review of premenarchal mucinous borderline ovarian cystadenoma, all cases were stage I and underwent salpingo-oophorectomy or oophorectomy. Those patients were alive without recurrence. Although mucinous borderline ovarian cystadenoma was characterized as malignancy, premenarchal cases showed favorable outcomes and salpingo-oohprectomy or oophorectomy appears appropriate.

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“…Twenty percent are seen in the post-menopausal periods 8 . Ovarian dermoid cysts are also the most frequently encountered ovarian tumours in children 9 . It is observed that mature cystic teratomas can show recurrence at the rate of three to four percent and the recurrence rate is higher in the patients who are younger at the time of fi rst diagnosis 10 .…”

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confidence: 99%

The value of ultra sonogram in the diagnosis of ovarian dermoid cysts

Pradhan

2014

J. Kathmandu Med. Coll.

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Mature cystic teratoma often referred to as dermoid cysts have been diagnosed using all imaging modalities. Dermoid cysts present various and complex ultrasonographic aspects. At times diagnosis may be diffi cult and lead to confusion due to its complex solid and cystic nature. The specifi city for diagnosis of fat and calcifi cation makes computed tomography (CT) scan the modality of choice. But CT scan is high technique equipment, expensive and may not be affordable or available at all places. Advances in the quality of USG machines, better experiences of ultrasound operators and thorough analysis of all ultrasound features that characterise dermoid cysts have resulted in an increased accuracy of exact ultrasonographic diagnosis of dermoid cysts in the vast majority of the cases and now used as the fi rst preoperative work-up method of choice for the assessment of adnexal masses in clinical practices.

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Ovarian masses in children: A review of 91 cases of malignant and benign masses

Cited by 157 publications

References 8 publications

Tumores Anexiales en Niñas Y Adolescentes: Experiencia Del Hospital Clínico De La Universidad Católica De Chile, 1991-2003

Tumores Anexiales en Niñas Y Adolescentes: Experiencia Del Hospital Clínico De La Universidad Católica De Chile, 1991-2003

Huge mucinous borderline ovarian cystadenoma in a premenarchal girl

The value of ultra sonogram in the diagnosis of ovarian dermoid cysts

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