Caspian Journal of Internal Medicine
1
Caspian J Intern Med
Medical Sciences
http://caspjim.com
1
admin
2008-6164
2008-6172
8
10.22088/cjim
14
8888
13
en
jalali
1394
7
1
gregorian
2015
10
1
6
4
online
1
fulltext
en
Types and frequency of ovarian masses in children over a 10-year period
Surgery
Surgery
Original Article
Original Article
<p dir="ltr"><font face="Times New Roman" size="3"> </font><font face="times new roman,times,serif"><b><i><span style="color: blue font-size: 10pt"><font face="times new roman,times,serif">Background:</font> </span></i></b><span style="font-size: 10pt"><font face="times new roman,times,serif">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.</font></span></font></p>
<p dir="ltr"><font face="times new roman,times,serif"><font size="3"> </font><b><i><span style="color: blue font-size: 10pt"><font face="times new roman,times,serif">Methods: </font></span></i></b><span style="font-size: 10pt"><font face="times new roman,times,serif">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.</font></span></font></p>
<p dir="ltr"><font face="times new roman,times,serif"><font size="3"> </font><b><i><span style="color: blue font-size: 10pt"><font face="times new roman,times,serif">Results:</font></span></i></b><span style="font-size: 10pt"> <font face="times new roman,times,serif">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) </font></span><font face="times new roman,times,serif" size="2">(P=0.683).</font></font></p>
<p dir="ltr"><font face="times new roman,times,serif"><font size="3"> </font><b><i><span style="color: blue font-size: 10pt"><font face="times new roman,times,serif">Conclusion:</font> </span></i></b><span style="font-size: 10pt"><font face="times new roman,times,serif">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.</font></span></font></p>
<p dir="ltr"><font face="Times New Roman" size="3"> </font></p>
Ovarian tumors, Abdominal pain, Children, Postoperative outcome
220
223
http://caspjim.com/browse.php?a_code=A-10-259-1&slc_lang=en&sid=1
Naser
Sadeghian
dr.nsadeghian@yahoo.com
10031947532846004230
10031947532846004230
No
Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Irandokht
Sadeghian
irandokht.sadeghian@yahoo.com
10031947532846004231
10031947532846004231
No
Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Alireza
Mirshemirani
almirshemirani@gmail.com
10031947532846004232
10031947532846004232
Yes
Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Ahmad
KhaleghnejadTabari
khaleghnejad@gmail.com
10031947532846004233
10031947532846004233
No
Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Fatemeh
Abdollah Gorji
fat_gorji@yahoo.com
10031947532846004234
10031947532846004234
No
Clinical Research development Center, Mofid Children's Hospital, Shahid Beheshti University of Medical Sciences, Tehran Iran
Fatollah
Roushanzamir
10031947532846004235
10031947532846004235
No
Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.