Postȩpy higieny i medycyny doświadczalnej | 2021
Ovarian tumors: Incidence, histological type\nof lesions and treatment in pediatric age group
Abstract
Background: The aim of this study was to evaluate the incidence and histological type of lesions affecting\nthe ovaries and to analyze employed methods of invasive treatment.\nMaterials&Methods: Medical records of patients who were treated surgically for ovarian tumors in the years 2015\n-2019 were reviewed. The study group was comprised of 31 female patients.\nResults: During 5 years time, there were 31 girls in the age from 3 months to 17 years hospitalized in the\ndepartment. The mean age was 11 years. Histopathological examination was performed in all of\nthese cases. 12 patients were diagnosed with malignant lesion, 19 with benign lesion. The most\ncommonly diagnosed malignant tumors were a dysgerminoma and a mixed germ cell tumor.\nIn the group of benign lesions, the most frequent tumor type was mature teratoma. The first\noccurring symptom was abdominal pain. Some of the lesions were diagnosed accidentally during\nultrasonography. The diagnostics was expanded depending on the size of the tumor, staging and\nclinical condition of the patient. All the patients were treated surgically, 16 of them underwent\nlaparoscopic surgery. Torsion of the ovary or oviduct was observed in 3 cases. Chemotherapy\nwas introduced in 8 cases as complementary treatment.\nConclusions: The most commonly diagnosed tumor was mature teratoma. Ultrasonography is the most frequent\nmethod of the ovaries’ examination. Ovarian lesions are characterized by non-specific clinical\nsymptoms, which is associated with prevalent incidental detection during ultrasonography.\n\n