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TÜRKÇE
Poster - 71
Giant ovarian cystadenomas and struma ovarii in adolescents: a cosmetic and oncologic challenge
Aliye Kandırıcı 1, Duygu Gürel Keten 1, Aylin Duriye Çevikel 2, Oktav Bosnalı 1
1 Istanbul Health Sciences University, Prof. Dr. Cemil Taşçıoğlu City Hospital, Department of Pediatric Surgery and Pediatric Urology
2 University of Health Sciences,Prof. Dr. Cemil Taşçıoğlu City Hospital, Department of Pediatric Surgery and Pediatric Urology, İstanbul
Purpose:
Surface epithelial-derived tumours are the most common tumours of the ovary; however, they are rare in children. Mucinous tumours of the ovary, a subtype of epithelial-derived tumours, can reach large sizes and may remain asymptomatic or cause an acute abdomen. This study aims to present five adolescent patients diagnosed with mucinous cystadenomas and struma ovarii.
Methods:
Five adolescent patients, with a mean age of 14 years, presented with gastrointestinal symptoms. Diagnosis was established by abdominal tomography. Preoperatively, tumour markers including α-fetoprotein, β-human chorionic gonadotropin, CEA, neuron-specific enolase (NSE), CA 15-3, CA 125, and CA 19-9 were measured. NSE was borderline high in all patients, and CA 19-9 was found to be ten times elevated in one patient. All patients underwent salpingo-oophorectomy via laparotomy.
Results:
Pathological examination revealed that four patients had intestinal-type mucinous cystadenomas and one had struma ovarii. In four patients with giant masses filling the entire abdomen, midline incision was preferred, whereas in one patient with a mass confined to the pelvis, a Pfannenstiel incision was performed.
Conclusion:
Salpingo-oophorectomy after aspiration of the cyst contents through a Pfannenstiel incision has been recommended in adolescents for cosmetic reasons. However, considering the risk of intraoperative rupture and possible malignancy, a midline incision is safer for large masses occupying the whole abdomen. With increasing experience, we believe Pfannenstiel incision can be used safely for smaller pelvic-confined masses, offering better cosmetic results.