Types and frequency of ovarian masses in children over a 10-year period
Background: Ovarian masses represent a range of pathology from benign cyst to highly aggressive malignant tumors. It has been estimated that gynecologic malignancy account for approximately 2% of all types of cancer in children, 60-70% of these lesions arise in the ovary. Methods: All ovarian mass...
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| Format: | Article |
| Language: | English |
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Babol University of Medical Sciences
2015-10-01
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| Series: | Caspian Journal of Internal Medicine |
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| Online Access: | http://caspjim.com/browse.php?a_code=A-10-259-1&slc_lang=en&sid=1 |
| _version_ | 1819095182369357824 |
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| author | Naser Sadeghian Irandokht Sadeghian Alireza Mirshemirani Ahmad KhaleghnejadTabari Fatemeh Abdollah Gorji Fatollah Roushanzamir |
| author_facet | Naser Sadeghian Irandokht Sadeghian Alireza Mirshemirani Ahmad KhaleghnejadTabari Fatemeh Abdollah Gorji Fatollah Roushanzamir |
| author_sort | Naser Sadeghian |
| collection | DOAJ |
| description | Background: Ovarian masses represent a range of pathology from benign cyst to highly aggressive malignant tumors. It has been estimated that gynecologic malignancy account for approximately 2% of all types of cancer in children, 60-70% of these lesions arise in the ovary.
Methods: All ovarian masses which were resected or biopsied in Mofid Children's Hospital from 2002 to 2012 were reviewed retrospectively. Patient’s age, presenting symptoms, surgical procedures, pathological diagnosis, postoperative treatment, and outcome were obtained from medical records.
Results: Fifty-seven girls (aged 40.2±57months with the range of 1 day to 15 years) underwent different types of ovarian operations (24 salpingo-oophorectomies, 10 oophorectomies, 21 ovarian cystectomies, and 2 ovarian biopsies). 50 children had unilateral ovarian mass (49.1% right and 38.6 left, respectively). The most common presenting symptoms were acute abdominal pain in 46%.Twenty one (37%) of our patients had ovarian torsion. Four (7%) patients had benign tumors, and 8 (14%) had malignant tumors. There were no age differences between those with benign type (8.2±2.6years) and malignant tumors (6.1±5.3years) (P=0.683).
Conclusion: Ovarian tumors are rare in children. Most are benign, in children presenting with acute abdominal pain, ovarian mass particularly neoplastic tumors should be suspected. An important proportion of these patients may require postoperative chemotherapy. |
| first_indexed | 2024-12-21T23:39:14Z |
| format | Article |
| id | doaj.art-2d5dc47edc4a4d24bf184843a24abcfa |
| institution | Directory Open Access Journal |
| issn | 2008-6164 2008-6172 |
| language | English |
| last_indexed | 2024-12-21T23:39:14Z |
| publishDate | 2015-10-01 |
| publisher | Babol University of Medical Sciences |
| record_format | Article |
| series | Caspian Journal of Internal Medicine |
| spelling | doaj.art-2d5dc47edc4a4d24bf184843a24abcfa2022-12-21T18:46:17ZengBabol University of Medical SciencesCaspian Journal of Internal Medicine2008-61642008-61722015-10-0164220223Types and frequency of ovarian masses in children over a 10-year periodNaser Sadeghian0Irandokht Sadeghian1Alireza Mirshemirani2Ahmad KhaleghnejadTabari3Fatemeh Abdollah Gorji4Fatollah Roushanzamir5 Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Clinical Research development Center, Mofid Children's Hospital, Shahid Beheshti University of Medical Sciences, Tehran Iran Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Background: Ovarian masses represent a range of pathology from benign cyst to highly aggressive malignant tumors. It has been estimated that gynecologic malignancy account for approximately 2% of all types of cancer in children, 60-70% of these lesions arise in the ovary. Methods: All ovarian masses which were resected or biopsied in Mofid Children's Hospital from 2002 to 2012 were reviewed retrospectively. Patient’s age, presenting symptoms, surgical procedures, pathological diagnosis, postoperative treatment, and outcome were obtained from medical records. Results: Fifty-seven girls (aged 40.2±57months with the range of 1 day to 15 years) underwent different types of ovarian operations (24 salpingo-oophorectomies, 10 oophorectomies, 21 ovarian cystectomies, and 2 ovarian biopsies). 50 children had unilateral ovarian mass (49.1% right and 38.6 left, respectively). The most common presenting symptoms were acute abdominal pain in 46%.Twenty one (37%) of our patients had ovarian torsion. Four (7%) patients had benign tumors, and 8 (14%) had malignant tumors. There were no age differences between those with benign type (8.2±2.6years) and malignant tumors (6.1±5.3years) (P=0.683). Conclusion: Ovarian tumors are rare in children. Most are benign, in children presenting with acute abdominal pain, ovarian mass particularly neoplastic tumors should be suspected. An important proportion of these patients may require postoperative chemotherapy.http://caspjim.com/browse.php?a_code=A-10-259-1&slc_lang=en&sid=1Ovarian tumors Abdominal pain Children Postoperative outcome |
| spellingShingle | Naser Sadeghian Irandokht Sadeghian Alireza Mirshemirani Ahmad KhaleghnejadTabari Fatemeh Abdollah Gorji Fatollah Roushanzamir Types and frequency of ovarian masses in children over a 10-year period Caspian Journal of Internal Medicine Ovarian tumors Abdominal pain Children Postoperative outcome |
| title | Types and frequency of ovarian masses in children over a 10-year period |
| title_full | Types and frequency of ovarian masses in children over a 10-year period |
| title_fullStr | Types and frequency of ovarian masses in children over a 10-year period |
| title_full_unstemmed | Types and frequency of ovarian masses in children over a 10-year period |
| title_short | Types and frequency of ovarian masses in children over a 10-year period |
| title_sort | types and frequency of ovarian masses in children over a 10 year period |
| topic | Ovarian tumors Abdominal pain Children Postoperative outcome |
| url | http://caspjim.com/browse.php?a_code=A-10-259-1&slc_lang=en&sid=1 |
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