Surgical tactic in treatment of ovarian masses in adolescents


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Abstract

Ovarian lesions in children are most frequently diagnosed in pubertal period. That could be associated with increased gonadotropin stimulation in this period. Most of the andexal masses in adolescents are benign. Malignant tumors of the ovary account less than 2 % in girls. Every girl with ovarian tumor and acute abdominal pain requires urgent differential diagnostic intervention and/or surgical treatment. The proportion of ovarian torsion is 2-3 % of all cases of abdominal pain in girls. This condition is an emergent gynecological pathology. One of the main aim of surgical treatment in young is to preserve fertility. Different surgery tactics in cases of ovarian masses in adolescents are reviewed in the article. The reproductive status of women underwent treatment for ovarian masses in childhood requires further investigations.

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About the authors

Svetlana Alekseevna Leontyeva

Saint Petersburg State Pediatric Medical University

Email: Sonik1977@yandex.ru
Postgraduate Student, Department of Obstetrics & Gynecology

Elena Aleksandrovna Ulrikh

Saint Petersburg State Pediatric Medical University

Email: elenaulrikh@mail.ru
MD, PhD, Dr Med Sci, Professor, Department of Children Gynecology and Female Reproductology, Faculty of Postgraduate Education

Nadezda Anatolyevna Kokhreidze

Saint Petersburg State Pediatric Medical University

Email: kokhreidze@mail.ru
MD, PhD, Ass. Prof. Dep. of Children Gynecology and Female Reproductology, Fac. of Postgraduate Education

References

  1. Кулаков В. И., ред. Савельева Г. М., Манухин И. Б. Гинекология. Национальное руководство. М.: Гэотар- Медиа. 2009.
  2. Кутушева Г. Ф., Урманчеева А. Ф. Опухоли и опухолевидные образования половых органов у девочек: монография. СПб.: Искусство России. 2001.
  3. Муслимова С. Ю., Сахаутдинова И. В. Особенности эпидемиологии новообразований яичников у девочек в республике Башкортостан. Репродуктивное здоровье детей и подростков. 2014; 1: 12-22.
  4. Чиссов В. И., ред. Старинский В. В, Петрова Г. В. Злокачественные новообразования в России в 2011 г. (заболеваемость и смертность). М.: ФГБУ «МНИОИ им. П. А. Герцена» Минздрава России; 2013.
  5. Anders J. F., Powell E. C. Urgency of evaluation and outcome of acute ovarian torsion in pediatric patients. Arch. Pediatr. Adolesc. Med. 2005; 159: 532-5.
  6. Aziz D., Davis V., Allen L., Langer J. Ovarian torsion in children: Is oophorectomy necessary? J. Pediatr. Surg. 2004; 39: 750-3.
  7. Bristow R. E., Nugent A. C., Zahurak M. L., Khouzhami V., Fox H. E. Impact of surgeon specialty on ovarian-conserving surgery in young females with an adnexal mass. J. Adolesc. Health. 2006; 39: 411.
  8. Chang Y. J., Yan D. C., Kong M. S. et al. Adnexal torsion in children. Pediatr. Emerg. Care. 2008; 24: 534-7.
  9. Celik A., Ergun O., Aldemir H. et al. Long-term results of conservative managementof adnexal torsion in children. J. Pediatr. Surg. 2005; 40: 704-8.
  10. Guthrie B. D., Adler M. D., Powell E. C. Incidence and trends of pediatric ovarian torsion hospitalizations in the United States, 2000-2006. Pediatrics. 2010; 125: 532-8.
  11. Hanaa El -Ebeissy., Rafik Shalaby., Ahmed Abd El Ghafar Helal. Laparoscopic Management of Ovarian Torsion in Children and Adolescent. J. Am. Sci. 2014; 10 (7): 56-61.
  12. Hibbard L. T., Adnexal torsion. Am. J. Obstet. Gynecol. 1985 Jun 15; 152 (4): 456-461.
  13. Houry D., Abbott J. T. Ovarian torsion: a fifteen-year review. Ann. Emerg. Med. 2001; 38: 156-9.
  14. Kokoska E., Keller M., Weber T. Acute ovarian torsion in children. Am. J. Surg. 2000; 180: 462-5.
  15. Martin C., Kirk Magee. Ovarian torsion in a 20-year- old patient. CJEM. 2006; 8 (2): 126-9.
  16. McGovern P. G., Noah R., Koenigsburg R. et al. Adnexal torsion and pulmonary embolism: case report and review of literature. Obstet. Gyn. Surv. 1999; 54: 601-8.
  17. Oltmann S. C., Fischer A., Barber R., Huang R., Hicks B., Garcia N. Cannot exclude torsion - a 15-year review. J. Pediatr. Surg. 2009; 44: 1212-16.
  18. Oltmann S. C., Fischer A., Barber R., Huang R., Hicks B., Garcia N. Pediatric ovarian malignancy presenting as ovarian torsion: incidence and relevance. J. Pediatr. Surg. 2010; 45: 135-9.
  19. Rousseau V., Massicot R., Darwish A. A. et al. Emergency management and conservative surgery of ovarian torsion in children: a report of 40 case. J. Pediatr. Adolesc. Gynecol. 2008; 21: 201.
  20. Spinelli C., Buti I., Pucci V. et al. Adnexal torsion in children and adolescents: new trends to conservative surgical approach -Our experience and review of literature. Gynecol. Endocrinol. 2013; 29: 54-8.
  21. Zweizig S., Perron J., Grubb D. et al. Conservative management of adnexal torsion. Am. J. Obstet. Gynecol. 1993; 168: 1791-5.
  22. Wang J. H., Wu D. H., Jin H., Wu Y. Z. Predominant etiology of adnexal torsion and ovarian outcome after detorsion in premenarchal girls. Eur. J. Pediatr. Surg. 2010;20: 298-301.
  23. Stancovich Z. Saving ovaries from torsion, tumors and trigger-happy surgeons. Report at 13th Congress of Pediatric and Adolescent Gynecology. London. 2014. 18th September.
  24. Jeniffer Eng-Lunt., Heather Appelbaum J., Avarello. Pediatric and adolescent ovarian torsion. 2011. Available at: http://www.acep.org/Content.aspx?id=82860 (accessed 16.11.14).

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Copyright (c) 2015 Leontyeva S.A., Ulrikh E.A., Kokhreidze N.A.

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