Ovarian cysts and tumors in infancy and childhood

Mukhopadhyay, Madhumita; Shukla, Ram Mohan; Mukhopadhyay, Biswanath; Mandal, Kartik Chandra; Ray, Amit; Sisodiya, Neha; Patra, Mahadev Prasad

doi:10.4103/0971-9261.107010

Cited by 16 publications

(15 citation statements)

References 13 publications

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“…Although Germ cell tumour was the most common malignant ovarian neoplasm in our study accounting up to 71.1% of all the malignant tumours of the ovary occurring in this age group. While immature teratoma was the most common malignant germ cell tumour in our study, dysgerminoma was most common in the studies conducted by Bhattacharyya, et al and Mukhopadhyay et al [2,15] from India.…”

Section: Discussionmentioning

confidence: 50%

Spectrum of Childhood and Adolescent Ovarian Tumors in India: 25 Years Experience at a Single Institution

Rathore

Sharma

Arora

2016

Open Access Maced J Med Sci

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BACKGROUND:Ovarian tumour in children and adolescent girls form an uncommon but important part of gynaecological malignancies. They account for 1% of all the childhood malignancies and 8% of all abdominal tumours in children. Since the ovarian cysts are thought to arise from mature follicles, these tumours were considered to be infrequent in the paediatric population.AIM:The rarity of this condition prompted us to conduct this study and share our experience on the incidence and clinicopathological features of different ovarian tumours in girls up to 20 years of age observed in last 25 years at a single tertiary care hospital.MATERIAL AND METHODS:This was a retrospective study conducted in the Department of Pathology at a tertiary hospital, Delhi. All ovarian tumours up to the age of 20 years in the past 25 years (1990-2014) were included for the purpose of studying the clinicopathological aspects of ovarian tumours in this age group. Descriptive statistics for prevalence and age-wise prevalence was done. Chi-square test, to find an association between the age, laterality and size with malignancy was performed.RESULTS:We received a total of 1102 cases of ovarian tumours over the period of 25 years (1990 to 2014), of which 112 (10%) cases were seen in girls up to 20 years of age. The mean age of the patients was 15.3 ± 4 years. The most common presenting complaint was pain abdomen (46.4 %) There was a statistically significant correlation found between size and malignancy status of tumours in our study (p = 0.00). Of 112 cases of ovarian tumours, 39/112 (34.8%) were malignant and 73/112 (65.2%) were benign. Mature cystic teratoma (27.6%) was the most common type of benign tumour in this age group and immature teratomas were the most common type of malignant ovarian neoplasms.CONCLUSION:Premenarchal girls with ovarian masses may have varied presentations. Abdominal pain is the most common presenting complaint of young adolescent girls with adnexal masses. So the index of suspicion should be kept high and prompt investigations like ultrasound must be performed early to rule out such adnexal masses. Immature Teratoma was the most common malignant and mature cystic teratoma was the most common benign tumour in our study.

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Section: Discussionmentioning

confidence: 50%

Spectrum of Childhood and Adolescent Ovarian Tumors in India: 25 Years Experience at a Single Institution

Rathore

Sharma

Arora

2016

Open Access Maced J Med Sci

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“…So it is recommended that these cysts should be punctured or removed surgically. 13,14 Zampieri et al, showed a strong correlation between cysts with size more than 5cm and need for surgical management. 15 If a foetal ovarian cyst is diagnosed, serial ultrasound for monitoring of cyst dimensions and echogenicity is advocated.…”

Section: Discussionmentioning

confidence: 99%

Neonatal ovarian cyst complicating as subacute intestinal obstruction: a case report

Chakraborty¹,

Chakraborty²,

Sugandhi

et al. 2020

Int J Contemp Pediatr

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Congenital Ovarian cysts are among the commonest intra-abdominal masses encountered in foetuses on antenatal screening, mostly during the third trimester of pregnancy. Though the etiology remains unknown, the most prevalent hypothesis holds maternal hormonal stimulation responsible for the pathology. Most are asymptomatic but potential complications can be life-threatening. A case of a 7 day old female baby was reported with normal antenatal scans and complaints of abdominal distension and vomiting since day 1 of life. Imaging included a Ultrasonographic diagnosis of suspected ovarian lesion and an MRI diagnosis of omental cyst. Due to progressive abdominal distension, authors proceeded with laparotomy. Left salpingo-oophorectomy was done as no ovarian tissue was salvageable. Post-operative period was uneventful. The histopathological picture was that of benign follicular cyst of ovary.

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“…Whereas, the asymptomatic, simple or uncomplicated cysts which are <5 cm in size can be observed and regularly monitored for the cyst size using ultrasound until it get resolve completely. It usually MP-2020-331 takes 6-10 months [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18]. Depending on the clinical examination or the postnatal ultrasound method, the surgery can be done in the newborn period or later when cysts becomes symptomatic [10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Laproscopic Management of Large Ovarian Cyst with Pregnancy: A Case Report

Darji¹

2020

int.jour.sci.res.mana.

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Background: Before a pregnant woman's baby birth, the incidence of cyst is the most common. Due to availability of quality antenatal ultrasound, ovarian cysts in the pregnant woman are diagnosed more frequently. The large (>5 cm) and complex cysts are symptomatic and it required to be managed by surgical intervention. Cyst might rupture, twist, or even cause problems during childbirth. Aims and objective: To bring relief to a primigravida with 16 weeks pregnancy after spontaneous conception, presented with complain of hugely distended abdomen with marked discomfort and to preserve her pregnancy. Case Report: Materials and Methods: A 26 year old pregnant woman with ovarian cyst was enrolled and treated through laparoscopic management. Results: After the laparoscopic removal of cyst the post-operative period of the pregnant woman was found uneventful. The pregnancy of the woman was progressed smoothly and there was no any complications during the pregnancy. Full term normal delivery (FTNVD) was occurred and the baby was healthy with weight of approximately 2.55 Kgs. Conclusion: Large ovarian cyst can be managed without disturbing the pregnancy and a complicated case can be transformed into a normal ante natal check-ups (ANC).

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Ovarian cysts and tumors in infancy and childhood

Cited by 16 publications

References 13 publications

Spectrum of Childhood and Adolescent Ovarian Tumors in India: 25 Years Experience at a Single Institution

Spectrum of Childhood and Adolescent Ovarian Tumors in India: 25 Years Experience at a Single Institution

Neonatal ovarian cyst complicating as subacute intestinal obstruction: a case report

Laproscopic Management of Large Ovarian Cyst with Pregnancy: A Case Report

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