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Post-resection outcomes for pediatric ovarian neoplasm: is ovarian-preserving surgery a good option?

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Abstract

Purpose

Pediatric surgeons often care for children with ovarian tumors. Few studies report long-term outcomes for these patients. This study characterizes intermediate-term results for patients who underwent surgical resection of ovarian neoplasms as children.

Methods

Patients who underwent surgery for ovarian neoplasms at a children’s hospital were identified. They were invited to participate in a telephone-based survey assessing post-surgical recurrence, dysmenorrhea, quality of life, and fertility.

Results

188 patients were identified; 79 met criteria. 31 patients had ovarian-sparing tumor resection; 48 had oophorectomy; five had recurrences. 56 were successfully interviewed at a median follow-up of 4.6 years. Dysmenorrhea rates of 52 and 78 % were reported (p = 0.07), respectively. Two patients suffered from infertility. Quality of life was generally reported as good.

Conclusion

Intermediate outcomes are good for patients who underwent ovarian-sparing tumor resection or oophorectomy for pediatric ovarian tumors. Additional long-term monitoring would be beneficial to better assess fertility and dysmenorrhea outcomes.

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Acknowledgments

We thank Andrea Patters for critical review of the manuscript.

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Authors and Affiliations

  1. Division of Pediatric Surgery, Department of Surgery, Le Bonheur Children’s Hospital, University of Tennessee Health Science Center, 49 N Dunlap Street, Second Floor, Memphis, TN, USA

    Nima Azarakhsh, Sandra Grimes, Pranit N. Chotai & Eunice Y. Huang

  2. Department of General Surgery, Vanderbilt University Medical Center, Nashville, TN, USA

    Pranit N. Chotai

  3. Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Le Bonheur Children’s Hospital, University of Tennessee Health Science Center, Memphis, TN, USA

    Claudette Shephard

Authors
  1. Nima Azarakhsh
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  2. Sandra Grimes
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  3. Pranit N. Chotai
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  4. Claudette Shephard
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  5. Eunice Y. Huang
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Corresponding author

Correspondence to Eunice Y. Huang.

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Azarakhsh, N., Grimes, S., Chotai, P.N. et al. Post-resection outcomes for pediatric ovarian neoplasm: is ovarian-preserving surgery a good option?. Pediatr Surg Int 33, 97–104 (2017). https://doi.org/10.1007/s00383-016-3987-x

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  • DOI: https://doi.org/10.1007/s00383-016-3987-x

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