Clinical and pathological investigation of adnexal masses in adolescents who underwent surgery in a tertiary center
Abstract
Objective: Adnexal masses are the most common reason for gynecologic surgery in adolescent patients. Early detection and adequate management of adnexal lesions are very important for saving lives and preserving fertility. In this study, we analyzed the clinical characteristics of 106 Turkish adolescent women who underwent surgery for adnexal masses.
Methods: The study included 106 patients aged ≤20 years that underwent surgery for adnexal masses at our hospital between January 2008 and December 2013. Clinical profiles were retrospectively collected from the hospital medical records. The records were analyzed for demographic profiles, initial symptoms, preoperative radiologic findings, operative approach, surgical procedure, pathology findings, and the maximum diameter of the adnexal mass.
Results: The age of the patients ranged from 12 to 20 years (median, 18.8 years). The most common initial symptom in these patients was abdominal pain (56.6%). Non-neoplastic ovarian lesions in the patients included 7 (6.6%) corpora hemorrhagica, 10 (9.4%) corpus luteal cysts, 4 (3.8%) paratubal cysts, and 7 (6.6%) simple cysts. Benign neoplastic tumors included 20 (18.9%) mature cystic teratomas (i.e., dermoid tumors), 10 (9.4%) serous cystadenomas, 1 (0.9%) mucinous cystadenomas, and 7 (6.6%) endometriomas. The most common surgical approach and procedure were laparoscopy (67.0%) and cystectomy (60.4%), respectively.
Conclusion: Laparoscopy can be performed in many adolescent patients and conservative, adnexal-sparing surgery should be encouraged for all patients. Ovarian-preserving techniques should be a priority when surgery is performed for benign masses in order to optimize future fertility potential. J Clin Exp Invest 2015; 6 (2): 96-101
Key words: Adolescent, adnexal, laparoscopy
Keywords
References
- 1. Logsdon VK. Common problems in pediatric and adolescent gynecologic surgery. Curr Opin Obstet Gynecol 2001;5:453-458.
- 2. Kirkham YA, Lacy JA, Kives S, Allen L. Characteristics and management of adnexal masses in a canadian pediatric and adolescent population. J Obstet Gynaecol Can 2011;33:935-943.
- 3. Cartault A, Caula-Legriel S, Baunin C, et al. Ovarian masses in adolescent girls. Endocr Dev 2012;22:194- 207
- 4. Spinelli C, Pucci V, Strambi S, et al. Treatment of Ovarian Lesions in Children and Adolescents: A Retro
Tersiyer bir merkezde ameliyat olan adölesanlardaki adneksiyel kitlelerin klinik ve patolojik incelenmesi
Abstract
Amaç: Adneksiyel kitleler adölesan hastalarda jinekolojik cerrahinin en sık nedenidir. Erken tanı ve yeterli tedavi fertilitenin korunmasında ve yaşamın devamında çok önemlidir. Bu çalışmada hastanemizde adneksiyel kitle nedeniyle ameliyat edilen 106 hastanın klinik özelliklerini inceledik. Yöntemler: Çalışma Ocak 2008 ve Aralık 2013 yılları arasında adneksiyel kitle nedeniyle ameliyat edilen 20 yaş altı 106 hastayı içermektedir. Hastaların klinik özellikleri geriye dönük olarak hastane kayıtlarından elde edildi. Kayıtlardan hastaların demografik özellikleri, başvuru şikayetleri, ameliyat öncesi radyolojik bulguları, operasyon şekli, patolojik bulguları ve kitlenin maksimum çapı elde edildi.Bulgular: Hastaların yaşları 12 ile 20 arasında değişmekteydi. (ort, 18,8). Hastaların en sık başvuru semptomu karın ağrısı idi (%56,6). Benign ovaryan lezyonlar yönünden incelediğimizde hastaların 7 tanesinde (%6,6) korpus hemorajikum, 10 tanesinde (%9,4) korpus luteum, 4 tanesinde (%3,8) paratubal kist ve 7 tanesinde (%6,6) basit kist vardı. Benign neoplastik lezyonlardan hastaların 20 tanesinde (%18,9) matur kistik teratom (dermoid tümör), 10 tanesinde (%9,4) seröz kistadenom, 1 tanesinde (%0,9) müsinöz kistadenom ve 7 tanesinde (%6,6) endometrioma vardı. En sık cerrahi yaklaşım laparoskopi (%67,0) ve en sık uygulanan ameliyat kistektomiydi. (%60,4). Sonuç: Laparoskopi ve fertilite koruyucu cerrahi adölesan yaşta bütün hastalarda ilk tercih edilen yöntem olmalıdır. Cerrahi yapılan ve benign kitlesi olan hastalarda gelecekteki fertiliteyi korumak için over koruyucu cerrahi teknikler uygulanmalıdır
Keywords
References
- 1. Logsdon VK. Common problems in pediatric and adolescent gynecologic surgery. Curr Opin Obstet Gynecol 2001;5:453-458.
- 2. Kirkham YA, Lacy JA, Kives S, Allen L. Characteristics and management of adnexal masses in a canadian pediatric and adolescent population. J Obstet Gynaecol Can 2011;33:935-943.
- 3. Cartault A, Caula-Legriel S, Baunin C, et al. Ovarian masses in adolescent girls. Endocr Dev 2012;22:194- 207
- 4. Spinelli C, Pucci V, Strambi S, et al. Treatment of Ovarian Lesions in Children and Adolescents: A Retro
Details
| Primary Language | English |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | July 9, 2015 |
| Published in Issue | Year 2015 |