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Surgically treated ovarian lesions in preadolescent girls. | LitMetric

Surgically treated ovarian lesions in preadolescent girls.

Acta Obstet Gynecol Scand

Department of Pediatric Surgery, New Children's Hospital, Helsinki University Hospital, Helsinki, Finland.

Published: January 2020

AI Article Synopsis

  • The study examined ovarian lesions in girls aged 0-11, focusing on those who underwent surgery between 1999 and 2016.
  • Out of 78 cases, most were benign cysts and neoplasms, with torsion prevalent in complex cysts.
  • The findings suggest that surgery for these conditions should prioritize preserving the ovary and be conducted promptly.

Article Abstract

Introduction: The purpose of this study was to investigate the epidemiology and characteristics of surgically treated ovarian lesions in preadolescent girls.

Material And Methods: This was a retrospective cohort study including all 0- to 11-year-old girls operated at a single center from 1999 to 2016 for ovarian cysts, neoplasms or torsions. Patient charts were reviewed for symptoms, preoperative radiological imaging, operative details and histopathology.

Results: We identified 78 girls, resulting in a population-based incidence of 4.2/100 000. Infants (n = 44) presented with benign cysts (42/44, 95%, one bilateral), a benign neoplasm (1/44, 2%) and a torsion without other pathology (1/44, 2%). Torsion was found in 25/29 (86%) ovaries with complex cysts and in 3/15 (21%) ovaries with simple cysts in preoperative imaging (P < 0.001). Most infants were symptomless. Lesions in 1- to 11-year-old girls (n = 34) included benign neoplasms (n = 21/34, 62%), malignant neoplasms (n = 5/34, 15%), a cyst with torsion (n = 1/34, 3%) and torsions without other pathology (n = 7/34, 21%). Torsion was more common in benign (17/21, 81%) than in malignant neoplasms (1/5, 20%) (P < 0.020). Ovarian diameter did not differ between ovaries with or without torsion (P = 0.238) or between benign and malignant neoplasms (P = 0.293). The duration of symptoms in lesions with or without torsion was similar.

Conclusions: The majority of surgically treated ovarian lesions in preadolescent are benign lesions with torsion. Surgery should be ovary-preserving and performed without delay.

Download full-text PDF

Source
http://dx.doi.org/10.1111/aogs.13717DOI Listing

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