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Pediatric Reports
Volume 10
Issue 3
10.4081/pr.2018.7752
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Case Report

Surgical Approach to Giant Ovarian Masses in Adolescents: Technical Considerations

by
Giorgio Persano
1,*,
Elisa Severi
1,
Noemi Cantone
2,
Filippo Incerti
1,
Enrico Ciardini
2 and
Bruno Noccioli
2
1
Department of Pediatric Surgery, AzienzaOspedaliero-Universitaria Meyer, Firenze
2
Department of Neonatal and Emergency Surgery, Azienza Ospedaliero-Universitaria Meyer, Firenze
*
Author to whom correspondence should be addressed.
Pediatr. Rep. 2018, 10(3), 7752; https://doi.org/10.4081/pr.2018.7752
Submission received: 21 May 2018 / Revised: 6 July 2018 / Accepted: 10 July 2018 / Published: 25 September 2018

Abstract

Ovarian neoplasms arising from the surface epithelium are rare in the pediatric population; their knowledge is therefore limited and the appropriate management is poorly defined. We describe our experience and suggest our surgical approach to adolescents affected by voluminous ovarian masses. Two 15-year-old adolescents were admitted to our institution in 2017 for multilobulated, fluid-filled masses measuring over 30 cm arising from the ovaries. The cystic component was drained intraoperatively with a spillage-free technique, consisting in the application of a sterile autoadhesive transparent drape on the cyst and the insertion of a 12 Ch pleural drain, secured with a purse-string suture. Unilateral salpingo-oophorectomy was then carried out. Histology revealed mucinous cystadenoma in both patients. Surgical treatment of ovarian masses should aim at both radically excising the tumor and preserving the fertility of the patients. Decompression with spillage-free techniques can be useful to achieve radical therapy with limited manipulation of tissues.
Keywords: mucinous cistadenoma; adolescents; pediatric ovarian tumors mucinous cistadenoma; adolescents; pediatric ovarian tumors

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MDPI and ACS Style

Persano, G.; Severi, E.; Cantone, N.; Incerti, F.; Ciardini, E.; Noccioli, B. Surgical Approach to Giant Ovarian Masses in Adolescents: Technical Considerations. Pediatr. Rep. 2018, 10, 7752. https://doi.org/10.4081/pr.2018.7752

AMA Style

Persano G, Severi E, Cantone N, Incerti F, Ciardini E, Noccioli B. Surgical Approach to Giant Ovarian Masses in Adolescents: Technical Considerations. Pediatric Reports. 2018; 10(3):7752. https://doi.org/10.4081/pr.2018.7752

Chicago/Turabian Style

Persano, Giorgio, Elisa Severi, Noemi Cantone, Filippo Incerti, Enrico Ciardini, and Bruno Noccioli. 2018. "Surgical Approach to Giant Ovarian Masses in Adolescents: Technical Considerations" Pediatric Reports 10, no. 3: 7752. https://doi.org/10.4081/pr.2018.7752

APA Style

Persano, G., Severi, E., Cantone, N., Incerti, F., Ciardini, E., & Noccioli, B. (2018). Surgical Approach to Giant Ovarian Masses in Adolescents: Technical Considerations. Pediatric Reports, 10(3), 7752. https://doi.org/10.4081/pr.2018.7752

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