Ovarian lesions and tumors in infants and older children

Author:

Fiegel Henning C.1,Gfroerer Stefan12,Theilen Till-Martin1,Friedmacher Florian1ORCID,Rolle Udo1ORCID

Affiliation:

1. Department of Pediatric Surgery and Urology , University Hospital Frankfurt , Frankfurt , Germany

2. Department of Pediatric Surgery , Helios Berlin Buch , Berlin , Germany

Abstract

Abstract 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.

Publisher

Walter de Gruyter GmbH

Subject

Surgery

Cited by 6 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Ovarian Torsion: A Review of the Evidence;Obstetrical & Gynecological Survey;2024-08

2. Surgical management of ovarian masses in children and adolescents: experience of an academic institution in France;Pediatric Surgery International;2024-06-06

3. Alpha-fetoprotein level in fetuses, infants, and children with ovarian masses: a literature review;Frontiers in Endocrinology;2024-02-06

4. Diagnostic approach to adnexal lesions in young females in their second and third decades;Egyptian Journal of Radiology and Nuclear Medicine;2024-01-15

5. Akutes Abdomen im Kindesalter;Medizinische Klinik - Intensivmedizin und Notfallmedizin;2023-06-09

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