Diagnosis and treatment of adnexal masses in children and adolescents

Obstetrics and Gynecology
Ayke J HermansS F Coppus

Abstract

To evaluate the diagnosis and treatment decisions made in children and adolescents with an adnexal mass. This was a retrospective cohort study among patients younger than age 18 years who were diagnosed with or treated for an adnexal mass at the Radboud University Medical Center, Nijmegen, the Netherlands, between January 1999 and October 2013. Age, signs and symptoms, laboratory results, imaging data, type of surgery including surgeon specialty, and histologic diagnosis were analyzed. Published criteria for characterizing a mass as benign (Papic et al) were applied to the present data set. One hundred eleven patients were included. The mean age of the patients was 10.2±5.6 years, ranging between 0 and 17 years. Ovarian masses were malignant in 28 patients (25.2%). Surgical therapy was applied in 83.1% of the benign masses and in 100% of the malignant masses. Oophorectomy was performed in 46.4% of the benign masses. The presence of a gynecologist was the only factor that significantly lowered the chance of oophorectomy in benign masses (odds ratio 0.14, 95% confidence interval 0.04-0.47). Papic et al's model had a sensitivity of 40.91% and a specificity of 100%. The malignancy rate among patients with adnexal masses in our coho...Continue Reading

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Citations

Jun 1, 2015·Journal of Pediatric Surgery·Brendan T CampbellChristine M Rader
Oct 25, 2016·Obstetrics and Gynecology·UNKNOWN American College of Obstetricians and Gynecologists’ Committee on Practice Bulletins—Gynecology
Dec 26, 2016·Gynecologic Oncology·Jessica L Chan, Erica T Wang
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Aug 17, 2018·Current Opinion in Obstetrics & Gynecology·Kathryn Stambough, Krista J Childress
Aug 2, 2017·Current Opinion in Obstetrics & Gynecology·Dani O GonzalezKatherine J Deans
Apr 30, 2020·Pediatric Surgery International·Hajime TakayasuToko Shinkai
Jul 15, 2020·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Milan TerzicAntonio Cianci
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Jan 17, 2021·Journal of Pediatric and Adolescent Gynecology·May C XacEllen Wilson
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Jul 23, 2019·Journal of Pediatric and Adolescent Gynecology·Hanna R GoldbergChristopher Z Lam
Jun 6, 2019·Pediatrics·Amy E LawrenceKatherine J Deans

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