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616.11-006-055.25-089 (1) |
Patologia sistemului circulator, a vaselor sanguine. Tulburări cardiovasculare (975) |
SM ISO690:2012 GUDUMAC, Eva, MIŞINA, Ana, MADAN, Diana. Formaţiunile ovariene epiteliale la copii şi adolescente. In: Buletin de Perinatologie, 2016, nr. 1(69), pp. 49-53. ISSN 1810-5289. |
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Buletin de Perinatologie | |||||||
Numărul 1(69) / 2016 / ISSN 1810-5289 | |||||||
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CZU: 616.11-006-055.25-089 | |||||||
Pag. 49-53 | |||||||
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Background: Epithelial ovarian tumors (EOT) account less than 20% of pediatric ovarian masses. The histological subtypes of EOT in children include only serous and mucinous tumors. The aim of study was to evaluate pediatric patients (≤ 18 y) diagnosed with EOTs over a period of fi fteen years with regard to their general characteristics and treatment methods. Materials and Methods: A total of thirty four patients histological diagnosed with EOT were evaluated. Results: The mean age of patients was 15.82±0.3 years, ranging between 9 and 18 years. The most common presenting complaint was abdominal pain in 31/34 (91.2%) pts. Diagnoses of EOTs were based on the USG, CT scan and MRI. The fi ndings on EOTs were as follows: lesions located at the right ovary (n=16), left ovary (n=16), and bilaterally (n=2). The mean diameter of EOTs at diagnosis was: max. – 11.99±1.23 cm (95% CI: 9.48-14.50) and min. – 10.29±1.06 cm (95% CI: 8.13-12.45). In 22 patients (64.7%) a laparotomy and in 12 (35.3%) a laparoscopy were performed. Surgery included cystectomy (n=25, 69.4%), in 8 (22.2%) cases were performed salpingo-oophorectomy, oophorectomy (n=2, 5.6%) and subtotal hysterectomy with bilateral adnexectomy (n=1, 2.8%). Two appendectomies were performed. The histopathological report revealed: serous cyst (n=18), mucinous cyst (n=15) and papillary projections were observed in 3 cases. There were no operative or postoperative complications. Conclusion: The ovary-sparing surgery of EOTs is the method of choice to preserve ovarian function and future fertility. |
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Cuvinte-cheie epithelial ovarian tumors, serous cystadenoma, mucinous cystadenoma, adolescents |
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