title: Management of Large Ovarian Neoplasms in Pediatric and Adolescent Females.
abstract: The overwhelming majority of ovarian cysts in pediatric and adolescent girls are physiologic; however, large simple and complex ovarian lesions often require surgical intervention due to the increased risk of neoplasia. In this review article, we discuss the preoperative evaluation and intraoperative management of large ovarian neoplasms. We review the current literature regarding long term ovarian function and fertility, rates of recurrence and residual disease, and novel surgical approaches. Managing large ovarian neoplasms in the pediatric and adolescent population requires careful preoperative and intraoperative care to optimally resect neoplasia while maximizing fertility and minimizing pain.
authors.affiliation: Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, WA; Department of Pediatric Surgery, University of Washington School of Medicine, Seattle Children's Hospital, Seattle, WA.
authors.forename: Anne-Marie E
authors.initials: AM
authors.lastname: Amies Oelschlager
authors.affiliation: Department of Pediatric Surgery, University of Washington School of Medicine, Seattle Children's Hospital, Seattle, WA.
authors.forename: Kenneth W
authors.initials: KW
authors.lastname: Gow
authors.affiliation: Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, WA.
authors.forename: Christopher B
authors.initials: CB
authors.lastname: Morse
authors.affiliation: Department of Obstetrics and Gynecology, Carilion Clinic-Virginia Tech-Carilion School of Medicine, Roanoke, VA. Electronic address: eltorre@carilionclinic.org.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Lara-Torre
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D059247:Fertility Preservation; D006801:Humans; D007430:Intraoperative Care / Q000379:methods*; D009364:Neoplasm Recurrence, Local; D010048:Ovarian Cysts / Q000473:pathology / Q000601:surgery*; D010051:Ovarian Neoplasms / Q000473:pathology / Q000601:surgery*; D059408:Pain Management; D011300:Preoperative Care / Q000379:methods*
keywords: Adolescents; Children; Large pelvic mass; Neonates; Ovarian cysts; Ovarian mass; Ovarian neoplasms