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Fertility sparing surgery for ovarian tumors in children and young adults

  • Gynecologic Oncology
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Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Objectives

To study the outcome of fertility conserving surgery for ovarian tumors in children and young adults (≤20 years) over 6 years (2003–2009).

Methods

This prospective study included 183 patients diagnosed with ovarian cysts or tumors requiring surgical excision. Ovarian cystectomy/ovariectomy was carried out followed by frozen section histopathology. Malignant cases were subjected to staging laparotomy and fertility sparing surgery.

Results

The median age at diagnosis was 17 years (range 7–20 years). 160/183 (87.4%) were non-neoplastic ovarian cysts or benign tumors. In 131/160 (81.8%) of non-neoplastic and benign tumors, it was possible to preserve the affected ovary. Twenty cases (11%) were diagnosed as primary malignant ovarian tumors, 2/183 (1.1%) were borderline tumors and 1 case (0.55%) was metastatic colonic carcinoma.

The median follow up of cases with primary malignant ovarian tumors was 36 months. During this period, two recurrences (9.1%) were detected, both of the germ cell type (immature teratoma and yolk sac tumor). Recurrent cases were managed by local excision and lymph node sampling followed by chemotherapy.

Conclusion

Fertility sparing surgery for malignant ovarian tumors in children and young adults has excellent prognosis and should be attempted whenever possible.

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Conflict of interest

The authors declare that, they have no conflict of interest in this study.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Mansoura University, Mansoura, Egypt

    El-Said Abdel-Hady, Reda Abdel-Hady Hemida, Anas Gamal & Maged El-Shamey

Authors
  1. El-Said Abdel-Hady
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  2. Reda Abdel-Hady Hemida
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  3. Anas Gamal
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  4. Maged El-Shamey
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Correspondence to El-Said Abdel-Hady.

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Abdel-Hady, ES., Abdel-Hady Hemida, R., Gamal, A. et al. Fertility sparing surgery for ovarian tumors in children and young adults. Arch Gynecol Obstet 285, 469–471 (2012). https://doi.org/10.1007/s00404-011-1946-2

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  • DOI: https://doi.org/10.1007/s00404-011-1946-2

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