Post-resection outcomes for pediatric ovarian neoplasm: is ovarian-preserving surgery a good option?

Pediatr Surg Int. 2017 Jan;33(1):97-104. doi: 10.1007/s00383-016-3987-x. Epub 2016 Oct 13.

Abstract

Purpose: Pediatric surgeons often care for children with ovarian tumors. Few studies report long-term outcomes for these patients. This study characterizes intermediate-term results for patients who underwent surgical resection of ovarian neoplasms as children.

Methods: Patients who underwent surgery for ovarian neoplasms at a children's hospital were identified. They were invited to participate in a telephone-based survey assessing post-surgical recurrence, dysmenorrhea, quality of life, and fertility.

Results: 188 patients were identified; 79 met criteria. 31 patients had ovarian-sparing tumor resection; 48 had oophorectomy; five had recurrences. 56 were successfully interviewed at a median follow-up of 4.6 years. Dysmenorrhea rates of 52 and 78 % were reported (p = 0.07), respectively. Two patients suffered from infertility. Quality of life was generally reported as good.

Conclusion: Intermediate outcomes are good for patients who underwent ovarian-sparing tumor resection or oophorectomy for pediatric ovarian tumors. Additional long-term monitoring would be beneficial to better assess fertility and dysmenorrhea outcomes.

Keywords: Neoplasm; Oophorectomy; Ovarian cyst; Ovarian preservation; Ovarian sparing; Pediatric ovarian.

MeSH terms

  • Adolescent
  • Child
  • Female
  • Fertility*
  • Humans
  • Neoplasm Staging*
  • Ovarian Neoplasms / diagnosis
  • Ovarian Neoplasms / surgery*
  • Ovariectomy / methods*
  • Quality of Life*
  • Retrospective Studies
  • Treatment Outcome