Treatment approaches in ovarian masses in children

Authors : Kübra ERTAN, Mehmet SARIKAYA, Hilal AKBAŞ, Fatma ÖZCAN SIKI, Buket KARA

Pages : 73-77

Doi:10.21765/pprjournal.877251

View : 22 | Download : 6

Publication Date : 2021-08-31

Article Type : Research Paper

Abstract :Aim: The aim of this retrospective study is to evaluate clinical features, treatment approaches and outcomes of children with ovarian mass. Materials and Methods: In our clinic, the oncologic charts of children with a mass in the ovary between 2009 and 2020 were analyzed retrospectively. The patients` demographic features, symptoms and signs, diagnosis, treatments and outcomes were noticed. Results: The age of 55 patients included in the study ranged from two months to 18 years insert ignore into journalissuearticles values(median, 12.9 years);. While the ages of 38 patients were ≥ 10 years insert ignore into journalissuearticles values(69.1%);, 17 of them were <10 years insert ignore into journalissuearticles values(30.9%);. Fifty of the patients underwent elective surgery insert ignore into journalissuearticles values(91%);, four had emergency surgery insert ignore into journalissuearticles values(7.3%);, one patient`s family refused the treatment insert ignore into journalissuearticles values(1.8%);. Of the surgeries performed, 28 were salpingo-oophorectomy insert ignore into journalissuearticles values(51.9%);, 23 were oophorectomy insert ignore into journalissuearticles values(42.6%);, and 3 were cystectomy insert ignore into journalissuearticles values(5.6%);. The types of ovarian mass were germ cell tumors insert ignore into journalissuearticles values(n: 44, 80%);, epithelial tumors insert ignore into journalissuearticles values(n: 4, 7.3%);, stromal tumors insert ignore into journalissuearticles values(n: 3, 5.5%);, simple cyst insert ignore into journalissuearticles values(n: 2, 3.6%);, and others insert ignore into journalissuearticles values(n: 2, 3.6%);. Two patients with malignant tumor insert ignore into journalissuearticles values(one dysgerminoma patient with ataxia telangiectasia, and the other with yolk sac tumor); died while the others were alive. Conclusion: In children, benign tumors are more prominent and surgical treatment is sufficient. In malignant tumors, overall survival rates have increased with multidisciplinary approaches.
Keywords : children, ovary, mass