J Korean Assoc Pediatr Surg.  1995 Dec;1(2):115-121. 10.13029/jkaps.1995.1.2.115.

Clinical Review of Ovarian Tumors in Children

• Cha SJ
• Yoon SY
• Jung SE
• Lee SC
• Park KW
• Kim WK

• KMID: 2440239
• DOI: http://doi.org/10.13029/jkaps.1995.1.2.115

Abstract

We reviewed 45 cases of ovarian tUmors treated at Seoul National University Children's Hospital from 1983 to 1993. Forty-five patients were operated upon for 52 ovarian tumors. The most common pathologic diagnosis was mature teratoma. The next were functional cyst, the tumors of epithelial cell origin, and those of stromal origin in order of frequency. Six patients(13%) had malignant tumor. There were one malignant teratoma, two dysgerminomas, one endodermal sinus tumor, and two granulosa cell tumors. Four cases were diagnosed as torsion of ovarian cyst preoperatively, and emergency exploratory laparotomy were performed. There were three cases of ovarian tumors associated with precocious puberty. The most widely used diagnostic tool was ultrasonography. In the treatment of these 45 patients, unilateral oophorectomy was done in 38 cases, unilateral oophorectomy with wedge resection of contralateral ovary was done in 5 cases, unilateral oophorectomy with contralateral simple cystectomy was done in one case and total abdominal hysterectomy with bilateral salpingooophorectomy was done in one case. Of the six cases of malignancy, five patients are alive 2 to 6 years after operation and one case was lost to be followed up.

Keyword

Ovarian tumors; Children

MeSH Terms

Child*
Cystectomy
Diagnosis
Dysgerminoma
Emergencies
Endodermal Sinus Tumor
Epithelial Cells
Female
Granulosa Cell Tumor
Humans
Hysterectomy
Laparotomy
Ovarian Cysts
Ovariectomy
Ovary
Puberty, Precocious
Seoul
Teratoma
Ultrasonography