Castration-sparing management of an adolescent with huge bilateral cystic teratomas of the ovaries.
In order to avoid the castrating effect of bilateral oophorectomy in a teenager with bilateral huge ovarian teratomas, a plane of dissection was developed near each ovarian hilum, and the cysts were excised in toto without spillage. Postoperatively, menstruation resumed promptly as the hormonal levels returned to normal. Benign cystic teratomas of the ovaries can be excised without the need for oophorectomy. This ovarian-sparing technique is particularly useful in cases of bilateral teratomas, where reproductive and hormonal functions should be preserved.
Jona
J Z
JZ
Department of Surgery and Pediatrics, Children's Hospital of Wisconsin, Milwaukee.
Burchby
K
K
Vitamvas
G
G
D000293:Adolescent; D003884:Dermoid Cyst / Q000601:surgery*; D005260:Female; D006801:Humans; D010051:Ovarian Neoplasms / Q000601:surgery*; D010052:Ovariectomy; D010053:Ovary / Q000601:surgery*