Background: Ovarian tumors are rare in the pediatric age and are represented primarily by functional cysts and benign tumors, the most common is the mature teratoma.
Objective and hypotheses: Assess clinical, radiological, etiological and scalable characteristics of ovarian tumors in the pediatric age.
Method: Retrospective study of seven cases of ovarian tumors collected over a period of 20 years. All children received complete clinical, hormonal balance with tumor markers (hCG, α fetoproteins ACE) and an abdominopelvic imaging (CT and magnetic resonance imaging) At the end of the exploration patients were operated and monitored.
Results: The average age of our patients was 8 years (515). reasons for consultation are abdominal pain (70%) and hyperandrogenism (30%). Abdominopelvic CT showed a large mass in all cases (>5 cm) cyst in 23.1%, and heterogeneous tissue in the remaining cases. The treatment was surgical: Tumorectomy in most cases. A single patient with Peutz Jeghers syndrome (PJ) was ovariectomized. Histological study concluded the diagnosis of cystic mature teratoma in 50% of cases, arrénoblastome in 25% of cases and granulosa cell tumors in 25% of cas. post opératoir evolution was marked 2 years after by a contralateral recurrence in the patient carrying PJ syndrome requiring further surgery (oophorectomy and adnexectomy) with chemotherapy.
Conclusion: The ovarian tumors in children are benign in most cases. Their diagnosis is based on histological and treatment given is usually surgical. A long-term follow-up is necessary in these.
20 - 22 Sep 2014
European Society for Paediatric Endocrinology