Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Ruttenstock, EM; Saxena, AK; Schwinger, W; Sorantin, E; Hoellwarth, ME.
Pediatric ovarian tumors--dilemmas in diagnosis and management.
Eur J Pediatr Surg. 2010; 20(2): 116-120.
Doi: 10.1055/s-0029-1246198
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
- Ruttenstock Elke Maria
- Co-Autor*innen der Med Uni Graz
- Höllwarth Michael
- Saxena Amulya Kumar
- Schwinger Wolfgang
- Sorantin Erich
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- Abstract:
- Background: Ovarian tumors are rare in the pediatric age group and thus diagnostic and treatment strategies are heterogeneous. This study aims to evaluate ovarian tumors with a focus on age at presentation, imaging characteristics, diagnostic strategy, tumor presentation and management. Methods: Data was collected retrospectively from patients admitted between 1991 and 2008 for the evaluation and therapy of ovarian tumors. Results: Twenty-five patients were identified with neoplastic ovarian lesions (mean age 10.7 years). Sixteen patients (64%) underwent surgery for benign and 9 (36%) for malignant tumors. Benign tumors (n = 16) had a mean diameter of 10.7 cm and mean age at presentation was 9.6 years compared to a diameter of 18.6 cm and 12.3 years in the malignant group (n = 9). Elevated tumor markers were observed in 3 (12.5%) benign tumors and in 7 (77.8%) malignant tumors. In preoperative ultrasound investigation, cyst formation was identified in 4 benign tumors and solid tumor mass in 2 malignant tumors. A minimally invasive surgical approach was chosen in two patients, while open surgery was opted for in the rest. Conclusion: Cyst formation, small tumor size and younger age at presentation were characteristic of benign tumors. Malignant tumors often presented with elevated tumor markers, a larger size and a solid consistency. Diagnostic dilemmas remain for both tumor groups due to the different tumor types and the heterogeneity of presentation.
- Find related publications in this database (using NLM MeSH Indexing)
- Child -
- Female -
- Humans -
- Neoplasm Staging -
- Ovarian Neoplasms - pathology Ovarian Neoplasms - surgery
- Retrospective Studies -
- Find related publications in this database (Keywords)
- pediatric
- ovarian tumors
- benign
- malignant