关键词:

卵巢肿块, 儿童, 临床特点, 热点问题

Abstract:

Objective　To investigate the clinical features and treatment of ovarian mass in children. Methods　The data of 34 children with ovarian mass treated in Department of Gynecology, Tengzhou Central People's Hospital from January 2012 to December 2021 were retrospectively analyzed. The clinical and pathological features were summarized; the hot clinical problems of the children with ovarian mass, including the classification of ovarian mass, accessory torsion, malignant tumor, and the characteristics of the children without operation, were analyzed. Results　Among the 34 children, 29 underwent surgical treatment and 2 had malignant tumors; 5 did not undergo surgery. Selective surgery was performed on 17 cases, and emergency surgery on 12 cases, including 6 cases of ovarian cyst pedicle torsion and 1 case of luteal cyst with hemorrhage. There were 30 children who had symptoms; the most common symptom was lower abdominal pain (80.0%, 24/30); 4 children were asymptomatic. The most common pathological type was cystic mature teratoma of the ovary (48.3%, 14/29); the coincidence rate of ultrasonic diagnosis with pathological diagnosis was 82.8% (24/29). The ovarian mass disappeared in the 5 children who did not undergo surgery and they did not undergo surgery. Conclusions　For girls with abdominal pain as the main symptom, it is necessary to be vigilant about the diagnosis of ovarian mass. Ultrasound examination is of great value for the diagnosis and treatment. Most ovarian masses in children are benign lesions, and surgery for the torsion of ovarian masses can preserve their fertility function as much as possible. It is helpful to improve clinical management strategies to discuss the problems of ovarian mass in children.

Key words:

Ovarian mass, Children, Clinical features, Hot issues