Surgically treated ovarian lesions in preadolescent girls

Ripatti, Liisi; Taskinen, Mervi; Koivusalo, Anna-Maria; Taskinen, Seppo

doi:10.1111/aogs.13717

Cited by 4 publications

(3 citation statements)

References 24 publications

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“…Therefore, when planning the treatment, an important element of therapy is the preservation of fertility. Minimally invasive surgery plays a very important role in modern therapy and should also be considered in this group 9–11…”

Section: Discussionmentioning

confidence: 99%

“…Minimally invasive surgery plays a very important role in modern therapy and should also be considered in this group. [9][10][11] A detailed analysis of the clinical status, laboratory tests, and imaging studies is necessary before making a final decision on further therapeutic, especially surgical management of a newborn with an ovarian lesion. The important role of a multidisciplinary team in making further decisions in problematic cases should be pointed out.…”

Section: Discussionmentioning

confidence: 99%

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The Surgical Procedure in the Case of Ovarian Lesion in Neonate

Sosnowska-Sienkiewicz

Kaczmarek

Maciejczyk

et al. 2022

Journal of Pediatric Hematology/Oncology

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Background: In newborns and infants, ovarian lesions can be detected during ultrasound examination before or after birth. Malignant ovarian lesions account for <1% of malignancies in newborns. However, in case of doubt about the nature of the lesion, surgery with tissue collection for histopathologic evaluation should be considered with the absolute condition of fertility preservation. Observations: The aim of this publication was to describe a case report of a 3-day-old infant who presented an ovarian lesion on postnatal ultrasound, with features suggesting a malignant nature of the ovary. In the described case, laparoscopy and mini-laparotomy were performed, torsion was excluded. The ovary was preserved, and histopathologic examination excluded the malignant nature of the lesion. Conclusion: A detailed analysis of the clinical status, laboratory tests, and imaging studies is necessary before making a final decision on further therapeutic, especially surgical management of a newborn with an ovarian lesion.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Surgical Procedure in the Case of Ovarian Lesion in Neonate

Sosnowska-Sienkiewicz

Kaczmarek

Maciejczyk

et al. 2022

Journal of Pediatric Hematology/Oncology

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“…Immediate laparoscopy should be performed to rule out ovarian torsion. Recently, the importance of immediate diagnosis and surgery in preadolescent patients was highlighted since in cases of benign lesions with torsion, ovarian preserving surgery should be the aim [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Ovarian lesions and tumors in infants and older children

Fiegel

Gfroerer

Theilen

et al. 2021

Innovative Surgical Sciences

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Objectives Ovarian lesions are rare but frequent in children. Patients could present with abdominal pain, but ovarian lesions could also be incidentally found on ultrasound. Awareness is required in cases with acute, severe lower abdominal pain, as ovarian torsion could be the cause. Other lesions can be cysts or benign or malignant ovarian tumors. Thus, the aim of this paper is to review typical ovarian lesions according to age, imaging and laboratory findings, and surgical management. Methods We retrospectively analysed the patient charts of 39 patients aged 10.4 ± 6.1 years (from 3 months to 18 years) with ovarian lesions treated in our institution between 01/2009 and 08/2020. All clinical and pathological findings of infants and children operated on for ovarian lesions were included. Results Ovarian lesions in children younger than 2 years of age were typically ovarian cysts, and ovarian tumors were not observed in this age group. In older children over 10 years of age, tumors were more common – with mostly teratoma or other germ cell tumors, followed by epithelial tumors. Moreover, acute or chronic ovarian torsion was observed in all age groups. In general, ovarian tumors were much larger in size than ovarian cysts or twisted ovaries and eventually showed tumor marker expression of AFP or ß-HCG. Simple ovarian cysts or twisted ovaries were smaller in size. Surgery for all ovarian lesions should aim to preserve healthy ovarian tissue by performing partial ovariectomy. Conclusions In adolescent girls with acute abdominal pain, immediate laparoscopy should be performed to rule out ovarian torsion. Careful imaging evaluation and the assessment of tumor markers should be performed in painless ovarian lesions to indicate an adequate surgical ovarian-sparing approach.

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Multiple recurrences of adnexal torsion in a 9-year-old girl: a case report

Bakaeva,

Baranov,

Vecherkin

et al. 2024

Russian Journal of Pediatric Surgery, Anesthesia and Intensive

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Most girls with abdominal pain syndrome caused by gynecological pathology are admitted to pediatric surgery departments. When adnexal torsion is detected, detorsion is performed. There is no single protocol for ovariopexy. A 9-year-old girl was admitted to the surgical hospital of the Regional Children’s Clinical Hospital No. 2 in Voronezh for the first time because of nagging pain in the lower abdomen. Vomiting was noted at the height of the pain syndrome. Ultrasound of the pelvic organs revealed torsion of the right uterine appendages. Laparoscopy showed that the right ovary was purple and enlarged in size and torsion of the uterine appendages by 720°. Detorsion of the right adnexal torsion was conducted, and blood supply was restored after 10 minutes. The child was discharged on hospitalization day 9. Five months later, the patient was admitted with repeated right adnexal torsion. Laparoscopic detorsion was performed: blood flow was restored, and the ovary was found to be viable. The patient was recommended to be hospitalized at the Federal Medical Center in Moscow for laparoscopic ovariopexy; however, her patients refused further treatment. The girl was discharged from the hospital on postoperative day 9. After 11 days, recurrent torsion of the right uterine appendages by 720° occurred, and laparoscopic detorsion was performed. Ten days after consulting a gynecologist, laparoscopic fixation of the right uterine appendages was planned. Ovariopexy was performed by suturing the ovary to the broad ligament of the uterus with an interrupted suture. The patient was discharged from the hospital in a satisfactory condition. Four months following ovariopexy, the child had no complaints, and ultrasound showed no pathological changes in the ovaries.

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Surgically treated ovarian lesions in preadolescent girls

Cited by 4 publications

References 24 publications

The Surgical Procedure in the Case of Ovarian Lesion in Neonate

The Surgical Procedure in the Case of Ovarian Lesion in Neonate

Ovarian lesions and tumors in infants and older children

Multiple recurrences of adnexal torsion in a 9-year-old girl: a case report

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