Clinical aspects of 40 cases of children with ovarian cysts
1.Department of Pediatric Surgery, the Second Affiliated Hospital & Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, 325027; 2.Department of Obstetrics and Gynecolog, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325027
BAO Xiaozhou1,QIN Le1,ZOU Shuangwei2, et al. Clinical aspects of 40 cases of children with ovarian cysts[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2015, 45(11): 838-.
Abstract：Objective: To analyze the diagnosis and treatment of ovarian cysts in children. Methods: A retrospective study of 40 children diagnosed with ovarian cysts from January 2012 to December 2014 was undertaken. All the patients are from The Second Affiliated Hospital & Yuying Children’s Hospital of Wenzhou Medical University. Results: The ages of the girls are varied from 26 days to 14 years old, with a mean age of 9 years old. 22 cases were on the left, 17 on the right and 1 on both sides. 38 cases accepted surgical intervention (20 cases were done by laparoscopy and 18 cases were done by laparotomy). One case without operation treatment for the cyst disappeared during hospitalization, another case underwent conservative treatment for the cyst was small and asymptomatic. 6 cases underwent adnexectomy for ovary necrosis, and another 1 case underwent this operation method for the fast pathologic diagnosis was dysgerminoma. Thirty-one cases underwent oophorocystectomy retenting of ovarian cyst. The pathological report mature cystic teratoma, serous cystadenoma, mucinous cystadenoma, mixed cystadenoma, endometrioid cyst. Conclusion: Clinical symptoms of ovarian cyst in children are not special, and its diagnosis and differential diagnosis rely on image examination. AFP and β-HCG detection in blood have great significance in evaluating the Ovarian cyst’s differentiation of benign and malignant. Whether the ovary can retain or not after pedicle torsion of ovarian cyst should depends on the early diagnosis, timely operation and the nature of the tumor. Laparoscopic surgery has its advantages in the treatment of benign ovarian cyst, but we should be careful to choose the operating method when it comes to a vicious one.
