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:: Volume 7, Issue 3 (7-2017) ::
Iran J Ped Hematol Oncol 2017, 7(3): 133-139 Back to browse issues page
The Correlation of Ovarian Masses and Risk of Oophorectomy in Pediatric Patients
Imen Abid Dr, Mohamed Zouari Dr , Mohamed Jallouli Dr, Sondes Sahli Dr, Aicha Bouden Dr, Rabiaa Ben Abdallah Dr, Fatma Trabelsi Dr, Asma Jabloun Dr, Awatef Charieg Dr, Chaima Mrad Dr, Mariam Marzouki Dr, Sana Mosbahi Dr, Aziza Ezzi Dr, Roumayla Mootamri Dr, Mourad Hamzaoui Dr, Nejib Kaabar Dr, Said Jlidi Dr, Abdellatif Nouri Dr, Riadh Mhiri Dr
Abstract:   (934 Views)

Background: Ovarian masses requiring surgical intervention are uncommon in the pediatric population. The aim of this study was to report results of a multicentric Tunisian study concerning the clinical practice and the management of pediatric ovarian masses and to identify the factors that are associated with ovarian preservation.

Materials and Methods: Between January 2000 and December 2015, 98 pediatric patients (<14 years) were surgically treated for ovarian masses at the five pediatric surgery departments in Tunisia.

Results: Ninety-eight patients were included in this study. The mean age of the patients at time of surgery was 8.46±4.87 years. Sixty-three ovarian masses (64.3%) were non- neoplastic lesions, 24 (24.5%) were benign tumors, and 11 (11.2%) were malignant neoplasms. Conservative surgery (ovarian preserving surgery) was successfully performed in 72.4% of the benign lesions whereas only three patients (27.3%) with malignant tumors underwent ovary-sparing tumor resection (p<0.001). The mean diameter of the tumors in the patients who underwent oophorectomy was significantly larger than that in the patients who underwent conservative surgery (7.8 ± 3.9 cm vs. 5.7 ± 2.9 cm, respectively, p=0.001).

Conclusion: In the present study, the risk factors for oophorectomy were a malignant pathology and large tumor size. In accordance with the Gynecologic Cancer Intergroup consensus, it is recommended that surgical management of ovarian masses in children should be based on ovarian preserving surgery.

Keywords: Children, Oophorectomy, Ovarian Mass, Ovarian Preservation
Full-Text [PDF 204 kb]   (269 Downloads)    
Type of Study: Research | Subject: Special
Received: 2017/03/25 | Accepted: 2017/04/17 | Published: 2017/07/16
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Abid I, Zouari M, Jallouli M, Sahli S, Bouden A, Abdallah R B, et al et al . The Correlation of Ovarian Masses and Risk of Oophorectomy in Pediatric Patients. Iran J Ped Hematol Oncol. 2017; 7 (3) :133-139
URL: http://ijpho.ssu.ac.ir/article-1-319-en.html

Volume 7, Issue 3 (7-2017) Back to browse issues page
Iranian Journal of Pediatric Hematology and Oncology
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