Surgical Lesions of the Ovary in Infancy and Childhood

Adelman, Susan; Benson, Clifford D.; Hertzler, Jack H.

doi:10.1097/00006254-197603000-00024

Cited by 12 publications

(14 citation statements)

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“…It is an organ with a complex physiology, which is always changing, undergoing more structural changes than any other organ (1) . The ovary is the third most common site of primary malignancy in female genital tract after cervix and endometrium accounting for 30% of all cancers of female genital tract (2) . But mortality rate exceeds the combined mortality of both endometrium and cervical neoplasm (3) .…”

Section: Introductionmentioning

confidence: 99%

“…The main aim of pathologist lies in distinguishing ovarian neoplasms from the wide spectrum of non-neoplastic lesions which frequently form a pelvic mass and are often associated with abnormal hormonal manifestation, thus potentially mimicking ovarian neoplasm. Their proper recognition in time is therefore important in guiding therapy (2) . Surgical management, in order to early diagnosis and aggressive treatment may improve survival of ovarian cancer especially in younger patients (below 45 yr old) (5) .…”

Section: Introductionmentioning

confidence: 99%

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Histopathological spectrum of ovarian lesions in tertiary care institute of central India

Panchonia¹

2018

jmscr

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JMSCR Vol||06||Issue||01||Page 32575-32581||January 2018Introduction The ovarian pathology is currently among the widest and most complex problems in modern gynecology mainly through ovarian tumours. Despite its small size, ovary requires attention of several specialties like endocrinology, gynecology and pathology. It is an organ with a complex physiology, which is always changing, undergoing more structural changes than any other organ

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Histopathological spectrum of ovarian lesions in tertiary care institute of central India

Panchonia¹

2018

jmscr

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“…Two groups of women show a significantly higher predisposition to ovarian torsion: women in their mid 20s and postmenopausal women. Only 15% of all torsions occur in pediatric patients [5], with two peaks of incidence, in newborns and at menarche [6]. According to some authors, the latter girls are at risk maybe because of the changes in the weight of their maturing adnexa [7].…”

Section: Introductionmentioning

confidence: 99%

“…The twisting of the ovary may involve a normal ovary (15-25%) [21,22] or an ovary with functional pathology, benign or malignant neoplasm [6,13]; however, malignancies are very rare. At presentation, the symptoms are usually nonspecific, thus often causing a delay of some hours in both diagnosis and surgical management [22].…”

Section: Introductionmentioning

confidence: 99%

Ovarian Torsion in Pediatric Patients: A Single-Institution Case Series and Mini-Review of the Literature

Briganti¹,

Gulia²,

Signore³

et al. 2017

OGIJ

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Ovarian torsion is an infrequent cause of acute abdominal pain in children. In these patients its etiology, diagnosis and treatment may differ significantly from that of adults. We show here our experience in 28 patients aged 9-16 during a seven years time frame (2008)(2009)(2010)(2011)(2012)(2013)(2014). All patients underwent trans-abdominal Ultrasonography (US) associated to Color Doppler Ultrasonography (CDU) and, in some selected cases, second level imaging methods. The surgical approach included open surgery or laparoscopy, either conservative (detorsion plus cystectomy/tumorectomy plus oophoropexy whenever appropriate) or radical, according to patient's conditions. Clinical presentation is non-specific and this frequently leads to diagnostic delay that might cause adnexal infarction. In case of acute abdominal pain, US is the most useful diagnostic tool, coupled with colorDoppler for the evaluation of blood circulation in the affected ovary.

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“…Although most common in the reproductive years, up to 15% of torsion occurs in pre-pubertal children [2]. The most common presenting symptoms are pain, nausea and vomiting [1,[3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Ovarian conservation in adnexal torsion-a report of six cases

North¹,

Nardo²,

Mokate³

et al. 2007

Gynecol Surg

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Adnexal torsion is an uncommon but important cause of emergency admission to the gynaecologist. Treatment of adnexal torsion has traditionally involved surgical excision of the affected structure, usually via laparotomy. A more conservative surgical approach of untwisting the torsion has been widely reported in paediatric cases. Despite reports of the successful treatment of torsion with this approach in the adult population, many UK surgeons remain reluctant to attempt ovarian conserving surgery, particularly via the laparoscopic route.We report six cases of conservative surgery for adnexal torsion. After initial success via laparotomy, the subsequent five cases were managed laparoscopically. We discuss the advantages and disadvantages of this management approach.

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Surgical Lesions of the Ovary in Infancy and Childhood

Cited by 12 publications

References 0 publications

Histopathological spectrum of ovarian lesions in tertiary care institute of central India

Histopathological spectrum of ovarian lesions in tertiary care institute of central India

Ovarian Torsion in Pediatric Patients: A Single-Institution Case Series and Mini-Review of the Literature

Ovarian conservation in adnexal torsion-a report of six cases

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