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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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Cerif XML Export
<?xml version='1.0' encoding='utf-8'?> <CERIF xmlns='urn:xmlns:org:eurocris:cerif-1.5-1' xsi:schemaLocation='urn:xmlns:org:eurocris:cerif-1.5-1 http://www.eurocris.org/Uploads/Web%20pages/CERIF-1.5/CERIF_1.5_1.xsd' xmlns:xsi='http://www.w3.org/2001/XMLSchema-instance' release='1.5' date='2012-10-07' sourceDatabase='Output Profile'> <cfResPubl> <cfResPublId>ibn-ResPubl-49425</cfResPublId> <cfResPublDate>2016-04-22</cfResPublDate> <cfVol>69</cfVol> <cfIssue>1</cfIssue> <cfStartPage>49</cfStartPage> <cfISSN>1810-5289</cfISSN> <cfURI>https://ibn.idsi.md/ro/vizualizare_articol/49425</cfURI> <cfTitle cfLangCode='RO' cfTrans='o'>Formaţiunile ovariene epiteliale la copii şi adolescente</cfTitle> <cfKeyw cfLangCode='RO' cfTrans='o'>epithelial ovarian tumors; serous cystadenoma; mucinous cystadenoma; adolescents</cfKeyw> <cfAbstr cfLangCode='EN' cfTrans='o'>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. </cfAbstr> <cfAbstr cfLangCode='RU' cfTrans='o'>Введение: Эпителильные опухoли яичника (ЭОЯ) встречаются менее чем в 20% случаев, из общего количества опухолей педиатрического возраста. Гистологические подгруппы ЭОЯ у детей включают только серозные и муцинозное опухoли. Цель исследования обследование педиатрических пациентов (≤18 лет) диагносцированных с ЭОЯ в промежутке пятнадцати лет относительно их общей характеристики и методов лечения. Материалы и методы: Были обследованны 34 пациентки с гистологически подтвержденным диагнозом ЭОЯ. Результаты: Средний возраст пациенток составил 15.82±0.3 года и варьировал от 9 до 18 лет. Наиболее частой жалобой являлись абдоминальные боли 31/34 (91.2%) пациентка. Диагноз ЭОЯ был основан на даных УСГ, КТ и МЯР. Полученные данные ЭОЯ были следуюшими: опухоль, расположенная в правом яичнике (n=16), левом яичнике (n=16) и двухсторонние опухoли (n=2). Средний _______диаметр ЭОЯ был: макс 11.99±1.23 cм (95% CI: 9.48-14.50) и мин. – 10.29±1.06 cм (95% CI: 8.13-12.45). У 22 (64.7%) пациенток была выполнена лапаротомия и у 12 (35.3%) - лапароскопия. Хирургическое вмешательство включало кистэктомию (n=25, 69.4%), аднексэктомию - 8 (22.2%) случаев, оварэктомию (n=2, 5.6%) и надвлагалищную ампутацию матки с придатками (n=1, 2.8%). Были выполнены две апендэктомии. Гистологическое исследование выявило: серозные кисты (n=18), муцинозные кисты (n=15) и в 3-х случаях наблюдались папилярные разрастания. Ни в одном случае не наблюдались интра-и постоперационные осложнения. Заключение: Щадящие операции на яичниках при ЭОЯ являются методом выбора в плане сохранения функции яичника и будущей фертильности. </cfAbstr> <cfResPubl_Class> <cfClassId>eda2d9e9-34c5-11e1-b86c-0800200c9a66</cfClassId> <cfClassSchemeId>759af938-34ae-11e1-b86c-0800200c9a66</cfClassSchemeId> <cfStartDate>2016-04-22T24:00:00</cfStartDate> </cfResPubl_Class> <cfResPubl_Class> <cfClassId>e601872f-4b7e-4d88-929f-7df027b226c9</cfClassId> <cfClassSchemeId>40e90e2f-446d-460a-98e5-5dce57550c48</cfClassSchemeId> <cfStartDate>2016-04-22T24:00:00</cfStartDate> </cfResPubl_Class> <cfPers_ResPubl> <cfPersId>ibn-person-13690</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2016-04-22T24:00:00</cfStartDate> </cfPers_ResPubl> <cfPers_ResPubl> <cfPersId>ibn-person-16045</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2016-04-22T24:00:00</cfStartDate> </cfPers_ResPubl> <cfPers_ResPubl> <cfPersId>ibn-person-42278</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2016-04-22T24:00:00</cfStartDate> </cfPers_ResPubl> </cfResPubl> <cfPers> <cfPersId>ibn-Pers-13690</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-13690-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2016-04-22T24:00:00</cfStartDate> <cfFamilyNames>Гудумак</cfFamilyNames> <cfFirstNames>Ева</cfFirstNames> </cfPersName_Pers> </cfPers> <cfPers> <cfPersId>ibn-Pers-16045</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-16045-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2016-04-22T24:00:00</cfStartDate> <cfFamilyNames>Mishina</cfFamilyNames> <cfFirstNames>Anna</cfFirstNames> <cfFamilyNames>Мишина</cfFamilyNames> <cfFirstNames>Анна</cfFirstNames> </cfPersName_Pers> </cfPers> <cfPers> <cfPersId>ibn-Pers-42278</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-42278-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2016-04-22T24:00:00</cfStartDate> <cfFamilyNames>Мадан</cfFamilyNames> <cfFirstNames>Диана</cfFirstNames> </cfPersName_Pers> </cfPers> </CERIF>