Abstract
All ovarian tumors in children are rare. Laparoscopic ovary-sparing treatment of ovarian tumor would be the preferred surgical approach for children in order to preserve future fertility. The objective of this research is to study the experience of gynecology department in Mansoura University Hospital in laparoscopic treatment of ovarian tumors in children. This study included seven patients with age range of 7 to 11 years presented with ovarian tumors. The following items were fulfilled for all studied cases: age at diagnosis, presenting complaints, blood samples for detection of tumor markers, abdominal ultrasonography, abdominal magnetic resonance imaging (MRI), treatment by laparoscopy, histopathological examination, and the outcome of the patients. All ovarian tumors were benign. Three cases were found to be cystic teratomas, two cases were benign serous cystadenoma, only one case was cystadeno-fibroma and one case was solid tumor, and its histology did not give a clear diagnosis, but no malignant cells were found. Unilateral salpingo-oophorectomy was carried out in three patients, whereas the other four patients had unilateral ovarian cystectomy. In one case, intraoperative spillage during excision of the tumoroccurred. Recovery of all patients was good and without any complications. Laparoscopic conservative surgery as a treatment for benign ovarian tumor in childhood gives a good chance to preserve future fertility.
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Acknowledgments
We deeply appreciate the help of all staff members of obstetrics and gynecology department for their assistance in surgical interference and postoperative care for all studied cases.
Contribution to authorship
Dr. Alaa Mosbah was responsible for obtaining full history taking, clinical assessment and examination, surgical laparoscopic interference for tumor excision in all cases, writing of the manuscript, and analysis of the results.
Dr. Yasmin Nabiel was responsible for the estimation of tumor markers in blood samples obtained from the included cases and shared in writing of the manuscript and analysis of the results.
Dr. Nermin Megahed was responsible for cytological analysis of the peritoneal wash, evaluation of the frozen sections, and pathological analysis for the excised tumors from included cases.
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The authors declare that they have no competing interests.
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This study was approved by our institutional review board on January 20, 2013. A written appropriate informed consent was obtained from all studied cases and their parents.
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Mosbah, A., Nabiel, Y. & Megahed, N. Laparoscopic treatment of ovarian tumors in children: an experience of seven cases in Mansoura University Hospital. Gynecol Surg 13, 329–332 (2016). https://doi.org/10.1007/s10397-016-0971-3
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DOI: https://doi.org/10.1007/s10397-016-0971-3