The management of mature cystic teratomas in children and adolescents: a retrospective analysis.
Mature cystic teratomas (MCT) are the most common ovarian tumours seen in children and adolescents. Fifty-two patients <21 years of age had surgical removal of an MCT, 14 of whom were approached laparoscopically. Compared with laparotomy, those patients managed laparoscopically had a significantly shorter hospital stay. Intra-operative tumour spillage occurred in 27 (52%) patients; there were no cases of chemical peritonitis. Available follow-up data on 34 (65%) patients revealed seven pregnancies occurring at a median of 70 months (46-123) postoperatively, including four in patients with intraoperative MCT spill. There were no cases of tumour recurrence during the follow-up period among the 27 (52%) patients managed with ovarian cystectomy. These results demonstrate that some of the conclusions regarding the contemporary management of MCT in adults are applicable to children and adolescents.
Templeman
C L
CL
Divisions of Pediatric Gynecology, Department of Obstetrics and Gynecology, University of Louisville, Louisville, Kentucky, USA.
Hertweck
S P
SP
Scheetz
J P
JP
Perlman
S E
SE
Fallat
M E
ME
D015746:Abdominal Pain; D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007431:Intraoperative Complications; D010535:Laparoscopy; D007813:Laparotomy; D007902:Length of Stay; D009364:Neoplasm Recurrence, Local; D010051:Ovarian Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D010173:Palpation; D011183:Postoperative Complications; D011247:Pregnancy; D012189:Retrospective Studies; D012421:Rupture; D013724:Teratoma / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome; D014463:Ultrasonography