title: Post-resection outcomes for pediatric ovarian neoplasm: is ovarian-preserving surgery a good option?
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Division of Pediatric Surgery, Department of Surgery, Le Bonheur Children's Hospital, University of Tennessee Health Science Center, 49 N Dunlap Street, Second Floor, Memphis, TN, USA.
authors.forename: Nima
authors.initials: N
authors.lastname: Azarakhsh
authors.affiliation: Division of Pediatric Surgery, Department of Surgery, Le Bonheur Children's Hospital, University of Tennessee Health Science Center, 49 N Dunlap Street, Second Floor, Memphis, TN, USA.
authors.forename: Sandra
authors.initials: S
authors.lastname: Grimes
authors.affiliation: Division of Pediatric Surgery, Department of Surgery, Le Bonheur Children's Hospital, University of Tennessee Health Science Center, 49 N Dunlap Street, Second Floor, Memphis, TN, USA.|Department of General Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.
authors.forename: Pranit N
authors.initials: PN
authors.lastname: Chotai
authors.affiliation: Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Le Bonheur Children's Hospital, University of Tennessee Health Science Center, Memphis, TN, USA.
authors.forename: Claudette
authors.initials: C
authors.lastname: Shephard
authors.affiliation: Division of Pediatric Surgery, Department of Surgery, Le Bonheur Children's Hospital, University of Tennessee Health Science Center, 49 N Dunlap Street, Second Floor, Memphis, TN, USA. ehuang@uthsc.edu.
authors.forename: Eunice Y
authors.initials: EY
authors.lastname: Huang
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D005298:Fertility; D006801:Humans; D009367:Neoplasm Staging; D010051:Ovarian Neoplasms / Q000175:diagnosis / Q000601:surgery*; D010052:Ovariectomy / Q000379:methods*; D011788:Quality of Life; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Neoplasm; Oophorectomy; Ovarian cyst; Ovarian preservation; Ovarian sparing; Pediatric ovarian