How should the management of ovarian masses in children?
<b>Introduction:</b> Prevalence of ovarian masses in children increase due to easy access to imaging techniques. There are conflicting views about evaluation and classification of ovarian masses for neoplasia in such age group in the literature.<br /> <b>Material and methods:...
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| Format: | Article |
| Language: | English |
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National Scientific Medical Center
2020-11-01
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| Series: | Ķazaķstannyṇ Klinikalyķ Medicinasy |
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| Online Access: | https://www.clinmedkaz.org/download/how-should-the-management-of-ovarian-masses-in-children-9270.pdf |
| _version_ | 1798017929517727744 |
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| author | Yusuf Atakan Baltrak Seniha Esin Söğüt Arzu Yavuz Onursal Varlikli Hasan Terzi |
| author_facet | Yusuf Atakan Baltrak Seniha Esin Söğüt Arzu Yavuz Onursal Varlikli Hasan Terzi |
| author_sort | Yusuf Atakan Baltrak |
| collection | DOAJ |
| description | <b>Introduction:</b> Prevalence of ovarian masses in children increase due to easy access to imaging techniques. There are conflicting views about evaluation and classification of ovarian masses for neoplasia in such age group in the literature.<br />
<b>Material and methods:</b> The patients who were monitored and treated because of ovarian mass in pediatric surgery and obstetrics and gynaecology clinics were reviewed retrospectively. Demographic data, symptoms, dimensions and lateralization of the mass, serum tumour markers, histopathological evaluation results, and treatment outcomes of the patients enrolled in were recorded. Ovarian masses of the participants were divided into two groups as non-neoplastic group (NNG) and neoplastic group (NG) depending on imaging techniques, serum tumour markers and histopathological analysis results. Results were statistically reviewed.<br />
<b>Results:</b> There was not any statistical difference between NG and NNG for age, body mass index, mass diameter, initial symptoms, and mass lateralization (p>0.05). Review of ovarian masses reported by imaging techniques revealed that pure cystic appearance was statistically significant for NNG (p=0.012). Duration of the surgery and hospitalization were detected shorter in NNG treated laparoscopically (p=0.023).<br />
<b>Conclusion:</b> Surgical treatment of ovarian masses in children should be ovarian protective as much as possible. However, there is not any reliable and proven marker that may differentiate a benign ovarian mass from a malignant ovarian mass in paediatric patients like adult population. A detailed medical history, physical examination, imaging methods, and adequate tumour markers should be used for preoperative evaluation of adnexial masses. |
| first_indexed | 2024-04-11T16:15:36Z |
| format | Article |
| id | doaj.art-92ac62d61a7d4931ade37161a97da832 |
| institution | Directory Open Access Journal |
| issn | 1812-2892 2313-1519 |
| language | English |
| last_indexed | 2024-04-11T16:15:36Z |
| publishDate | 2020-11-01 |
| publisher | National Scientific Medical Center |
| record_format | Article |
| series | Ķazaķstannyṇ Klinikalyķ Medicinasy |
| spelling | doaj.art-92ac62d61a7d4931ade37161a97da8322022-12-22T04:14:34ZengNational Scientific Medical CenterĶazaķstannyṇ Klinikalyķ Medicinasy1812-28922313-15192020-11-01660889210.23950/jcmk/9270How should the management of ovarian masses in children?Yusuf Atakan Baltrak0Seniha Esin Söğüt1Arzu Yavuz2Onursal Varlikli3Hasan Terzi4Department of Pediatric Surgery, University of Health Science, Kocaeli Derince Training and Research Hospital, Derince, Kocaeli, TurkeyDepartment of Pediatric Surgery, University of Health Science, Kocaeli Derince Training and Research Hospital, Derince, Kocaeli, TurkeyDepartment of Obstetrics and Gynecology, University of Health Science, Kocaeli Derince Training and Research Hospital, Derince, Kocaeli, TurkeyDepartment of Pediatric Surgery, University of Health Science, Kocaeli Derince Training and Research Hospital, Derince, Kocaeli, TurkeyDepartment of Obstetrics and Gynecology, University of Health Science, Kocaeli Derince Training and Research Hospital, Derince, Kocaeli, Turkey<b>Introduction:</b> Prevalence of ovarian masses in children increase due to easy access to imaging techniques. There are conflicting views about evaluation and classification of ovarian masses for neoplasia in such age group in the literature.<br /> <b>Material and methods:</b> The patients who were monitored and treated because of ovarian mass in pediatric surgery and obstetrics and gynaecology clinics were reviewed retrospectively. Demographic data, symptoms, dimensions and lateralization of the mass, serum tumour markers, histopathological evaluation results, and treatment outcomes of the patients enrolled in were recorded. Ovarian masses of the participants were divided into two groups as non-neoplastic group (NNG) and neoplastic group (NG) depending on imaging techniques, serum tumour markers and histopathological analysis results. Results were statistically reviewed.<br /> <b>Results:</b> There was not any statistical difference between NG and NNG for age, body mass index, mass diameter, initial symptoms, and mass lateralization (p>0.05). Review of ovarian masses reported by imaging techniques revealed that pure cystic appearance was statistically significant for NNG (p=0.012). Duration of the surgery and hospitalization were detected shorter in NNG treated laparoscopically (p=0.023).<br /> <b>Conclusion:</b> Surgical treatment of ovarian masses in children should be ovarian protective as much as possible. However, there is not any reliable and proven marker that may differentiate a benign ovarian mass from a malignant ovarian mass in paediatric patients like adult population. A detailed medical history, physical examination, imaging methods, and adequate tumour markers should be used for preoperative evaluation of adnexial masses.https://www.clinmedkaz.org/download/how-should-the-management-of-ovarian-masses-in-children-9270.pdfchildmalignancyovarian neoplasmssurgery |
| spellingShingle | Yusuf Atakan Baltrak Seniha Esin Söğüt Arzu Yavuz Onursal Varlikli Hasan Terzi How should the management of ovarian masses in children? Ķazaķstannyṇ Klinikalyķ Medicinasy child malignancy ovarian neoplasms surgery |
| title | How should the management of ovarian masses in children? |
| title_full | How should the management of ovarian masses in children? |
| title_fullStr | How should the management of ovarian masses in children? |
| title_full_unstemmed | How should the management of ovarian masses in children? |
| title_short | How should the management of ovarian masses in children? |
| title_sort | how should the management of ovarian masses in children |
| topic | child malignancy ovarian neoplasms surgery |
| url | https://www.clinmedkaz.org/download/how-should-the-management-of-ovarian-masses-in-children-9270.pdf |
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