Management of Ovarian Tumors and Adnexal Torsion in Children; How to Save?

Year 2019, Volume: 9 Issue: 2, 140 - 144, 30.06.2019

Beytullah Yağız , Ayşe Karaman , Derya Erdoğan

https://doi.org/10.16899/jcm.577708

Cited By: 1

Abstract

Abstract

Background/Aims: Although rare, torsion and malignancy of the uterine adnexa, are a common concern of differential diagnosis while dealing with abdominal pain in girls

Methods:Forty-seven patients  who were
operated for adnexal torsion or ovarian tumor between March 2004 and December
2010 are enrolled in the study. 

Results:Twenty one patients had torsion of the uterine adnexa, 18 had ovarian
tumors and 8 had an ovarian tumor with torsion. The rate of radical surgery was
47% in torsion which was elevated to 72% in tumor and 100% in tumors with
torsion. In ovarian torsion, the rate of radical surgery and adnexal sparing
were not different between early versus late presenting cases. 

Conclusions: Despite encouraging data in the literature favor ovarian sparing,
radical surgery still seems to remain high in girls with adnexal torsion and
tumors. Ovarian sparing seems possible in tumors but further studies are needed
to determine the best management strategy. 

Keywords

ovary, tumor, torsion, child

Çocuklarda Over Tümörlerinin Ve Adneks Torsiyonlarının Sağaltımı; Nasıl Kurtarabiliriz?

Abstract

Öz

Amaç:Nadir görülmekle birlikte, uterin adnekslerin malignite ve torsiyonları,
karın ağrısı ile başvuran kız çocuklarının değerlendirilmesinde önemli bir
sorun oluşturmaktadır

Gereç ve Yöntem: Kliniğimizde, Mart 2004 ile Aralık 2010 tarihleri arasında adneks
torsiyonu veya tümörü tanısı almış 47 hasta çalışmaya dahil edildi.

Bulgular:Yirmi bir hasta uterin adnekslerin torsiyonu, 18 hasta over tümörü ve 8
hastanın ise tümör ile birlikte torsiyon nedeniyle ameliyat edilmişti. Radikal
cerrahi oranı torsiyonlarda %47, tümörlerde %72 iken, hem torsiyon hemde tümör
varlığında %100’e ulaşmaktaydı. Over torsiyonlarında radikal cerrahi ve over
kurtarılma oranları açısından, erken ve geç başvuran vakalar arasında fark
yoktu.

Tartışma:Overlerin korunabileceğini destekleyen verilerin
giderek artmasına rağmen, kız çocuklarında adneks torsiyonu ve tümörlerinin
tedavisinde radikal cerrahi oranları halen yüksek gözükmektedir. Over
tümörlerinde koruyucu cerrahi mümkün gözükmekle beraber en uygun yolunu bulmak
için daha ileri çalışmalara ihtiyaç vardır. 

Keywords

over, tümör, torsiyon, çocuk

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