Ovarian lesions among pediatric patients

Abstract

IntroductionOvarian lesions are not commonly seen in pediatric females; however, there are some reported cases among different pediatric age groups. Ovarian lesions can show, clinically, in many diverse presentations, and the treatment chosen may be conservative or surgical, accordingly. In this study, we aim to find ovarian lesions commonly operated on and their histopathological and clinical characteristics among pediatric patients at tertiary center in Riyadh, Saudi Arabia.Material and methodsA retrospective review of medical records of all pediatric patients (aged 14 or younger) who underwent surgical removal of ovarian lesions from January 1997 to August 2016 at King Abdulaziz Medical City, Riyadh, Saudi Arabia was conducted.ResultsRecords for a total of 14 girls with a mean age of 5.7 ± 5.1 years were reviewed. The most common clinical presentation was acute abdominal pain (n = 5, 35.7%). There were four patients without any complaints who were diagnosed incidentally (28.6%). More than half of the patients underwent laparoscopy (n = 8, 57.1%) and cystectomy procedures were performed on 50% of the patients (n = 7). Simple ovarian cysts (n = 5) were the most common ovarian lesions followed by mature cystic teratomas (n = 3) with 35.7% and 21.4%, respectively. Furthermore, simple ovarian cysts were more common among infants. There was only one death reported and she had been diagnosed with a mixed germ cell tumor.ConclusionThe majority of ovarian lesions in the studied pediatric patients were benign. The most common lesions were simple ovarian cysts. Abdominal pain was the most common presenting symptom.

Distribution of various histopathological patterns of ovarian lesions in different age groups

“…6,7,13 As noticed in this study (Table-03) that ovarian torsion resulting in infarction is more common in age earlier than menarche, has been stated in another study. 15,20 As documented in table-04, mature cystic Teratoma accounts for most common benign tumor being observed in ages between 21 to 60 years, has concordance with other studies. 7,21 One of the benign tumors, Thecoma has been seen in postmenopausal age group (Table-04) is similarly documented by Arteaga E etal.…”

“…14 Juvenile granulosa cell tumors account for a large proportion of 10-25% of the sex-cord stromal tumors of pre-menarche age group. 15 Germ cell neoplasms of the ovary affecting at younger age are often correlated with malignant potential. 12,16 Adult granulosa cell tumors have been frequently noticed type among sex-cord stromal tumors of ovary during adolescence and middle aged females.…”