Naslov
Factors Associated With Ovarian Preservation in Children and Adolescents With Primary Tumors of Ovary

Autori
Pogorelić, Zenon ; Jukić, Doroteja ; Jukić, Miro ; Mrklić, Ivana

Izvornik
Indian Pediatrics (0019-6061) 57 (2020), 6; 515-518

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
Adnexal mass ; Laparoscopy ; Management ; Ovariectomy

Sažetak
Objective: To determine management of pediatric ovarian masses and identify the factors associated with ovarian preservation. Methods: From January, 2002 to January, 2019 the case records of 72 patients (median age 14 y), who underwent surgery for ovarian tumors were retrospectively reviewed. Results: Tumors were most common in the age group 14'17 yrs (58.3%) and most (91.7%) were benign. The most common presenting symptom was abdominal pain (80.5%) followed by vomiting, elevated body temperature, nausea and palpable abdominal mass. 25 (34.7%) patients had an ovarian torsion. Six out of 72 (8.3%) patients had malignant tumors. Of the patients with malignant tumors, 75% had abnormal alpha-fetoprotein and 50% had abnormal beta-human chorionic gonadotropin levels (P<0.001). Ovarian-preserving surgery was successfully performed in 74.3% of the benign lesions and two patients (25%) with malignant tumors (P=0.004). Conclusions: Factors associated with ovarian-preserving surgery are benign tumor, normal tumor markers levels, and smaller size of tumor.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA