Prognosis and postoperative surveillance of benign ovarian tumors in children: a single-center retrospective study.

IF 2.8 4区医学 Q1 PEDIATRICS

Jornal de pediatria Pub Date : 2025-05-09 DOI:10.1016/j.jped.2025.03.009

XiaoLi Chen, DuoTe Cai, Yi Chen, Weiwei Chen, YueBin Zhang, ZhiGang Gao, QingJiang Chen

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引用次数: 0

Abstract

Objective: To evaluate the prognosis of benign ovarian tumors and develop a postoperative surveillance strategy for children based on the findings.

Methods: The clinical data of children with benign ovarian tumors treated in the hospital from January 2014 to December 2021 were retrospectively analyzed.

Results: A total of 404 patients were included in this study, with an average age of 9.1 ± 3.1 years. All patients underwent a total of 423 procedures, including 61 oophorectomy and 362 ovary-sparing surgeries. 67 patients were lost to follow-up after surgery. The remaining 337 patients were followed up for a period ranging from 3 months to 9 years (mean 1.6 ± 1.8 years). The ovarian preservation rate for patients undergoing ovary-sparing surgery for the first time was 94.4% (271/287). The overall recurrence rate of benign ovarian tumors was 3.9% (13/337). Of the 13 patients with recurrence, 10 had regular imaging examinations and did not develop symptoms. Three patients had irregular follow-up after surgery and returned to the hospital due to symptoms. The first recurrence interval of these 13 patients after surgery ranged from 0.6 to 5.3 years (mean 2.0 ± 1.4 years). 84.6% (11/13) of the recurrence cases developed within 3 years after surgery.

Conclusion: Ovary-sparing surgery for benign ovarian tumors has a favorable prognosis and a high rate of ovarian preservation. Regular follow-up after surgery for benign ovarian tumors is necessary. Annual imaging follow-up for at least 3 years postoperative can detect most recurrence cases.

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儿童良性卵巢肿瘤的预后和术后监测：一项单中心回顾性研究。

目的：探讨儿童良性卵巢肿瘤的预后及术后监测策略。方法：回顾性分析2014年1月至2021年12月该院收治的儿童卵巢良性肿瘤的临床资料。结果：共纳入404例患者，平均年龄9.1±3.1岁。所有患者总共接受了423次手术，包括61次卵巢切除术和362次卵巢保留手术。67例患者术后失访。其余337例患者随访3个月~ 9年（平均1.6±1.8年）。首次行保卵巢手术患者卵巢保存率为94.4%（271/287）。良性卵巢肿瘤总复发率为3.9%（13/337）。13例复发患者中，10例定期影像学检查，未出现症状。3例患者术后随访不规律，因症状返院。13例患者术后首次复发间隔为0.6 ~ 5.3年（平均2.0±1.4年）。84.6%（11/13）的复发病例在术后3年内发生。结论：卵巢良性肿瘤保留卵巢手术预后良好，卵巢保留率高。卵巢良性肿瘤术后定期随访是必要的。术后至少3年的年度影像学随访可以发现大多数复发病例。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Jornal de pediatria 医学-小儿科

CiteScore

5.60

自引率

3.00%

发文量

审稿时长

43 days

期刊介绍： Jornal de Pediatria is a bimonthly publication of the Brazilian Society of Pediatrics (Sociedade Brasileira de Pediatria, SBP). It has been published without interruption since 1934. Jornal de Pediatria publishes original articles and review articles covering various areas in the field of pediatrics. By publishing relevant scientific contributions, Jornal de Pediatria aims at improving the standards of pediatrics and of the healthcare provided for children and adolescents in general, as well to foster debate about health.