Aim: The aim of this retrospective study is to evaluate clinical features, treatment approaches and outcomes of children with ovarian mass. Materials and Methods: In our clinic, the oncologic charts of children with a mass in the ovary between 2009 and 2020 were analyzed retrospectively. The patients' demographic features, symptoms and signs, diagnosis, treatments and outcomes were noticed. Results: The age of 55 patients included in the study ranged from two months to 18 years (median, 12.9 years). While the ages of 38 patients were ≥ 10 years (69.1%), 17 of them were <10 years (30.9%). Fifty of the patients underwent elective surgery (91%), four had emergency surgery (7.3%), one patient's family refused the treatment (1.8%). Of the surgeries performed, 28 were salpingo-oophorectomy (51.9%), 23 were oophorectomy (42.6%), and 3 were cystectomy (5.6%). The types of ovarian mass were germ cell tumors (n: 44, 80%), epithelial tumors (n: 4, 7.3%), stromal tumors (n: 3, 5.5%), simple cyst (n: 2, 3.6%), and others (n: 2, 3.6%). Two patients with malignant tumor (one dysgerminoma patient with ataxia telangiectasia, and the other with yolk sac tumor) died while the others were alive. Conclusion: In children, benign tumors are more prominent and surgical treatment is sufficient. In malignant tumors, overall survival rates have increased with multidisciplinary approaches.
|Subjects||Health Care Sciences and Services|
|Journal Section||Original Articles|
|Thanks||The authors would like to thank Professor Yavuz Köksal (from Departments of Pediatric Hematology and Oncology, Selcuk University, Konya, Turkey) and Professor İlhan Çiftçi (from Departments of Pediatric Surgery, Selcuk University, Konya, Turkey) for their support.|
|Publication Date||August 31, 2021|
|Acceptance Date||April 13, 2021|
|Published in Issue||Year 2021, Volume 9, Issue 2|