Ultrasonographic diagnosis and surgical outcomes of adnexal masses in children and adolescents
Abstract This study aimed to evaluate the incidence, clinical diagnosis, surgical treatment, and histopathological findings of adnexal masses in children and adolescents. This retrospective study included patients aged < 20 years who were diagnosed with adnexal masses between January 2005 and Dec...
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Nature Portfolio
2022-03-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-022-08015-4 |
| _version_ | 1819294618218397696 |
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| author | Gun Gu Kang Kyeong A So Ji Young Hwang Nae Ri Kim Eun Jung Yang Seung Hyuk Shim Sun Joo Lee Tae Jin Kim |
| author_facet | Gun Gu Kang Kyeong A So Ji Young Hwang Nae Ri Kim Eun Jung Yang Seung Hyuk Shim Sun Joo Lee Tae Jin Kim |
| author_sort | Gun Gu Kang |
| collection | DOAJ |
| description | Abstract This study aimed to evaluate the incidence, clinical diagnosis, surgical treatment, and histopathological findings of adnexal masses in children and adolescents. This retrospective study included patients aged < 20 years who were diagnosed with adnexal masses between January 2005 and December 2018 at the Konkuk University Medical Center. Adnexal masses were diagnosed in 406 patients. The mean age of patients was 17.3 years at the time of diagnosis. The primary presenting symptoms and signs were abdominal pain (81.4%), mass per abdomen (13.7%), dysmenorrhea (3.4%), incidental finding (2%), and abdominal distention (0.5%). In total, 204 patients underwent surgery for adnexal masses, and 202 patients were observed without surgery. Histopathological examination revealed 110 benign neoplasms, 72 non-neoplastic lesions, 3 ectopic pregnancies, 3 tubo-ovarian abscesses, 7 borderline malignant tumors, and 9 non-epithelial ovarian malignant tumors. Abdominal pain was the most common reason for hospital visits and surgery in adolescents and young women with adnexal masses. The ultrasonographic diagnosis was consistent with the histopathological diagnosis. In recent years, the use of minimally invasive surgery such as laparoscopy and robotic, has increased in young patients with adnexal masses. |
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| format | Article |
| id | doaj.art-cbca8bbb3d0d4a26aba9b8704f414e4d |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-12-24T04:29:11Z |
| publishDate | 2022-03-01 |
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| spelling | doaj.art-cbca8bbb3d0d4a26aba9b8704f414e4d2022-12-21T17:15:29ZengNature PortfolioScientific Reports2045-23222022-03-011211710.1038/s41598-022-08015-4Ultrasonographic diagnosis and surgical outcomes of adnexal masses in children and adolescentsGun Gu Kang0Kyeong A So1Ji Young Hwang2Nae Ri Kim3Eun Jung Yang4Seung Hyuk Shim5Sun Joo Lee6Tae Jin Kim7Department of Obstetrics and Gynecology, Konkuk University School of MedicineDepartment of Obstetrics and Gynecology, Konkuk University School of MedicineDepartment of Obstetrics and Gynecology, Konkuk University School of MedicineDepartment of Obstetrics and Gynecology, Konkuk University School of MedicineDepartment of Obstetrics and Gynecology, Konkuk University School of MedicineDepartment of Obstetrics and Gynecology, Konkuk University School of MedicineDepartment of Obstetrics and Gynecology, Konkuk University School of MedicineDepartment of Obstetrics and Gynecology, Konkuk University School of MedicineAbstract This study aimed to evaluate the incidence, clinical diagnosis, surgical treatment, and histopathological findings of adnexal masses in children and adolescents. This retrospective study included patients aged < 20 years who were diagnosed with adnexal masses between January 2005 and December 2018 at the Konkuk University Medical Center. Adnexal masses were diagnosed in 406 patients. The mean age of patients was 17.3 years at the time of diagnosis. The primary presenting symptoms and signs were abdominal pain (81.4%), mass per abdomen (13.7%), dysmenorrhea (3.4%), incidental finding (2%), and abdominal distention (0.5%). In total, 204 patients underwent surgery for adnexal masses, and 202 patients were observed without surgery. Histopathological examination revealed 110 benign neoplasms, 72 non-neoplastic lesions, 3 ectopic pregnancies, 3 tubo-ovarian abscesses, 7 borderline malignant tumors, and 9 non-epithelial ovarian malignant tumors. Abdominal pain was the most common reason for hospital visits and surgery in adolescents and young women with adnexal masses. The ultrasonographic diagnosis was consistent with the histopathological diagnosis. In recent years, the use of minimally invasive surgery such as laparoscopy and robotic, has increased in young patients with adnexal masses.https://doi.org/10.1038/s41598-022-08015-4 |
| spellingShingle | Gun Gu Kang Kyeong A So Ji Young Hwang Nae Ri Kim Eun Jung Yang Seung Hyuk Shim Sun Joo Lee Tae Jin Kim Ultrasonographic diagnosis and surgical outcomes of adnexal masses in children and adolescents Scientific Reports |
| title | Ultrasonographic diagnosis and surgical outcomes of adnexal masses in children and adolescents |
| title_full | Ultrasonographic diagnosis and surgical outcomes of adnexal masses in children and adolescents |
| title_fullStr | Ultrasonographic diagnosis and surgical outcomes of adnexal masses in children and adolescents |
| title_full_unstemmed | Ultrasonographic diagnosis and surgical outcomes of adnexal masses in children and adolescents |
| title_short | Ultrasonographic diagnosis and surgical outcomes of adnexal masses in children and adolescents |
| title_sort | ultrasonographic diagnosis and surgical outcomes of adnexal masses in children and adolescents |
| url | https://doi.org/10.1038/s41598-022-08015-4 |
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