Post-resection outcomes for pediatric ovarian neoplasm: is ovarian-preserving surgery a good option?

作者：Azarakhsh Nima; Grimes Sandra; Chotai Pranit N; Shephard Claudette; Huang Eunice Y^*

来源：Pediatric Surgery International, 2017, 33(1): 97-104.

DOI：10.1007/s00383-016-3987-x

• Ovarian cyst
• Oophorectomy
• Ovarian preservation
• Ovarian sparing
• Pediatric ovarian
• Neoplasm

Pediatric surgeons often care for children with ovarian tumors. Few studies report long-term outcomes for these patients. This study characterizes intermediate-term results for patients who underwent surgical resection of ovarian neoplasms as children.
Patients who underwent surgery for ovarian neoplasms at a children's hospital were identified. They were invited to participate in a telephone-based survey assessing post-surgical recurrence, dysmenorrhea, quality of life, and fertility.
188 patients were identified; 79 met criteria. 31 patients had ovarian-sparing tumor resection; 48 had oophorectomy; five had recurrences. 56 were successfully interviewed at a median follow-up of 4.6 years. Dysmenorrhea rates of 52 and 78 % were reported (p = 0.07), respectively. Two patients suffered from infertility. Quality of life was generally reported as good.
Intermediate outcomes are good for patients who underwent ovarian-sparing tumor resection or oophorectomy for pediatric ovarian tumors. Additional long-term monitoring would be beneficial to better assess fertility and dysmenorrhea outcomes.

• 出版日期2017-1