Ovarian Dermoid Cyst Trajectory in Premenarchal Girls

IF 1.7 4区 医学 Q3 OBSTETRICS & GYNECOLOGY Journal of pediatric and adolescent gynecology Pub Date : 2024-07-14 DOI:10.1016/j.jpag.2024.07.003
Jasneet Aulakh BS, Erin E. Isaacson MD, Sarah D. Compton PhD, MPH, Monica W. Rosen MD
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Abstract

Study Objective

Mature ovarian dermoid cysts (ODCs) are the most common benign ovarian tumors diagnosed in children. However, there is minimal data on management of ODCs in premenarchal patients. This study assesses characteristics associated with expectant (EM) vs surgical (SM) management in premenarchal patients and the growth rate of ODCs in EM patients at a single institution.

Methods

Forty-four premenarchal patients, either post-surgical with pathologically-confirmed ODC or having radiologic findings consistent with ODCs, were included. Data collected included demographics, cyst characteristics, imaging findings, presence of symptoms, surgical procedure performed, and ovarian torsion occurrence.

Results

Patient age at diagnosis was similar between groups (SM: 8.8 vs EM: 8.0, P = .55). At presentation, 36 patients (82%) underwent SM and 8 (18%) underwent EM. There was a significant difference in cyst size between groups (SM: 8.9 cm vs EM: 3.6 cm, P = .004). Of SM patients, 30% underwent oophorectomy vs cystectomy, with a significant difference in ODC size between procedures (11.8 cm vs 7.7 cm, P = .016). Of EM patients, 75% had at least one and 60% had three follow-up ultrasounds, with average follow-up timeframes of 3.7 and 27 months respectively. Average yearly ODC growth rate for the latter group was 0.8 cm.

Conclusion

The average yearly growth rate of ODCs in premenarchal patients within our institution was slower than in older cohorts, and both age and cyst size played significant roles in determining surgical procedure. Continued study on EM in premenarchal ODCs will help define parameters for recommending SM vs EM in this population.

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初产少女的卵巢皮样囊肿轨迹
研究目的成熟卵巢皮样囊肿(ODC)是儿童中最常见的良性卵巢肿瘤。然而,有关孕前患者卵巢皮样囊肿治疗的数据极少。本研究评估了单个医疗机构对初产妇患者进行预期治疗(EM)和手术治疗(SM)的相关特征,以及EM患者ODC的生长率:方法:纳入了44名初产妇患者,他们要么是手术后经病理证实患有ODC,要么是放射学检查结果与ODC一致。收集的数据包括人口统计学特征、囊肿特征、影像学检查结果、有无症状、手术过程和卵巢扭转发生情况:两组患者确诊时的年龄相似(SM:8.8 岁 vs. EM:8.0 岁,P=.55)。就诊时,36 名患者(82%)接受了 SM,8 名患者(18%)接受了 EM。两组患者的囊肿大小存在明显差异(SM:8.9 厘米 vs. EM:3.6 厘米,P=.004)。在SM患者中,30%接受了卵巢切除术与囊肿切除术,两种手术的ODC大小差异显著(11.8厘米 vs. 7.7厘米,P=.016)。在EM患者中,75%的患者至少接受过一次超声随访,60%的患者接受过三次超声随访,平均随访时间分别为3.7个月和27个月。后一组患者的ODC年平均增长率为0.8厘米:结论:与年龄较大的人群相比,我院初产妇患者卵巢早衰的年平均生长速度较慢,年龄和囊肿大小在决定手术方式时起着重要作用。对初产妇ODC的EM继续研究将有助于确定在这一人群中推荐SM与EM的参数。
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来源期刊
CiteScore
3.90
自引率
11.10%
发文量
251
审稿时长
57 days
期刊介绍: Journal of Pediatric and Adolescent Gynecology includes all aspects of clinical and basic science research in pediatric and adolescent gynecology. The Journal draws on expertise from a variety of disciplines including pediatrics, obstetrics and gynecology, reproduction and gynecology, reproductive and pediatric endocrinology, genetics, and molecular biology. The Journal of Pediatric and Adolescent Gynecology features original studies, review articles, book and literature reviews, letters to the editor, and communications in brief. It is an essential resource for the libraries of OB/GYN specialists, as well as pediatricians and primary care physicians.
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