Abstract
Ovarian neoplasms arising from the surface epithelium are rare in the pediatric population; their knowledge is therefore limited and the appropriate management is poorly defined. We describe our experience and suggest our surgical approach to adolescents affected by voluminous ovarian masses. Two 15-year-old adolescents were admitted to our institution in 2017 for multilobulated, fluid-filled masses measuring over 30 cm arising from the ovaries. The cystic component was drained intraoperatively with a spillage-free technique, consisting in the application of a sterile autoadhesive transparent drape on the cyst and the insertion of a 12 Ch pleural drain, secured with a purse-string suture. Unilateral salpingo-oophorectomy was then carried out. Histology revealed mucinous cystadenoma in both patients. Surgical treatment of ovarian masses should aim at both radically excising the tumor and preserving the fertility of the patients. Decompression with spillage-free techniques can be useful to achieve radical therapy with limited manipulation of tissues.
Highlights
1Department of Pediatric Surgery; We describe our experience and suggest our surgical approach to adolescents affected by voluminous ovarian masses
We retrospectively examined the analysis, manuscript editing; FI, data collection and analysis; EC, project development, project supervision, manuscript editing; BN, project supervision, manuscript editing
We describe our experience and suggest our surgical approach to adolesn cents affected by voluminous ovarian masso es
Summary
We retrospectively examined the analysis, manuscript editing; FI, data collection and analysis; EC, project development, project supervision, manuscript editing; BN, project supervision, manuscript editing. Two 15-year-old adolescents were admitted to our institution in 2017 for mule tilobulated, fluid-filled masses measuring s over 30 cm arising from the ovaries. The contralateral ovary was normal, and no other abnormaliadjacent structures of rupture of the mass itself, a plan was made to drain intraoperatively the cystic components with a technique that would avoid spillage of cystic fluid in the abdomen and perform a unilateral salpingo-oophorectomy. The second had a mass arising from the both patients and samples of peritoneal benign tumors.[2] Various histotypes are rec- left ovary, measuring 34 cm, with poorly fluid for cytology were collected as first ognized and classified according to the pre- defined residual parenchyma and a multi- procedure.
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