Critical elements in the operative management of pediatric malignant ovarian germ cell tumors

Semin Pediatr Surg. 2023 Oct;32(5):151342. doi: 10.1016/j.sempedsurg.2023.151342. Epub 2023 Nov 17.

Abstract

Performance of the appropriate operation is highly important to ensure that any patient with a suspected ovarian germ cell tumor receives optimal therapy that prioritizes cure while simultaneoulsy minimizing risk of short and long-term toxicities of treatment. The following critical elements of any operative procedure performed for a suspected pediatric or adolescent ovarian germ cell tumor are reviewed: 1. Complete resection of the tumor via ipsilateral oophorectomy while avoiding tumor rupture and spillage, and 2. Performance of complete intraperitoneal staging at the time of initial tumor resection.

Keywords: Adolescent; Germ cell tumor; Ovary; Pedatric; Staging; Surgery; Yolk sac tumor.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Child
  • Female
  • Humans
  • Neoplasm Staging
  • Neoplasms, Germ Cell and Embryonal* / diagnosis
  • Neoplasms, Germ Cell and Embryonal* / surgery
  • Ovarian Neoplasms* / diagnosis
  • Ovarian Neoplasms* / pathology
  • Ovarian Neoplasms* / surgery

Supplementary concepts

  • Ovarian Germ Cell Cancer