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Ultrasonographic diagnosis and surgical outcomes of adnexal masses in children and adolescents

This study aimed to evaluate the incidence, clinical diagnosis, surgical treatment, and histopathological findings of adnexal masses in children and adolescents. This retrospective study included patients aged < 20 years who were diagnosed with adnexal masses between January 2005 and December 201...

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Autores principales: Kang, Gun Gu, So, Kyeong A, Hwang, Ji Young, Kim, Nae Ri, Yang, Eun Jung, Shim, Seung Hyuk, Lee, Sun Joo, Kim, Tae Jin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2022
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8913732/
https://www.ncbi.nlm.nih.gov/pubmed/35273292
http://dx.doi.org/10.1038/s41598-022-08015-4
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author Kang, Gun Gu
So, Kyeong A
Hwang, Ji Young
Kim, Nae Ri
Yang, Eun Jung
Shim, Seung Hyuk
Lee, Sun Joo
Kim, Tae Jin
author_facet Kang, Gun Gu
So, Kyeong A
Hwang, Ji Young
Kim, Nae Ri
Yang, Eun Jung
Shim, Seung Hyuk
Lee, Sun Joo
Kim, Tae Jin
author_sort Kang, Gun Gu
collection PubMed
description This study aimed to evaluate the incidence, clinical diagnosis, surgical treatment, and histopathological findings of adnexal masses in children and adolescents. This retrospective study included patients aged < 20 years who were diagnosed with adnexal masses between January 2005 and December 2018 at the Konkuk University Medical Center. Adnexal masses were diagnosed in 406 patients. The mean age of patients was 17.3 years at the time of diagnosis. The primary presenting symptoms and signs were abdominal pain (81.4%), mass per abdomen (13.7%), dysmenorrhea (3.4%), incidental finding (2%), and abdominal distention (0.5%). In total, 204 patients underwent surgery for adnexal masses, and 202 patients were observed without surgery. Histopathological examination revealed 110 benign neoplasms, 72 non-neoplastic lesions, 3 ectopic pregnancies, 3 tubo-ovarian abscesses, 7 borderline malignant tumors, and 9 non-epithelial ovarian malignant tumors. Abdominal pain was the most common reason for hospital visits and surgery in adolescents and young women with adnexal masses. The ultrasonographic diagnosis was consistent with the histopathological diagnosis. In recent years, the use of minimally invasive surgery such as laparoscopy and robotic, has increased in young patients with adnexal masses.
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spelling pubmed-89137322022-03-14 Ultrasonographic diagnosis and surgical outcomes of adnexal masses in children and adolescents Kang, Gun Gu So, Kyeong A Hwang, Ji Young Kim, Nae Ri Yang, Eun Jung Shim, Seung Hyuk Lee, Sun Joo Kim, Tae Jin Sci Rep Article This study aimed to evaluate the incidence, clinical diagnosis, surgical treatment, and histopathological findings of adnexal masses in children and adolescents. This retrospective study included patients aged < 20 years who were diagnosed with adnexal masses between January 2005 and December 2018 at the Konkuk University Medical Center. Adnexal masses were diagnosed in 406 patients. The mean age of patients was 17.3 years at the time of diagnosis. The primary presenting symptoms and signs were abdominal pain (81.4%), mass per abdomen (13.7%), dysmenorrhea (3.4%), incidental finding (2%), and abdominal distention (0.5%). In total, 204 patients underwent surgery for adnexal masses, and 202 patients were observed without surgery. Histopathological examination revealed 110 benign neoplasms, 72 non-neoplastic lesions, 3 ectopic pregnancies, 3 tubo-ovarian abscesses, 7 borderline malignant tumors, and 9 non-epithelial ovarian malignant tumors. Abdominal pain was the most common reason for hospital visits and surgery in adolescents and young women with adnexal masses. The ultrasonographic diagnosis was consistent with the histopathological diagnosis. In recent years, the use of minimally invasive surgery such as laparoscopy and robotic, has increased in young patients with adnexal masses. Nature Publishing Group UK 2022-03-10 /pmc/articles/PMC8913732/ /pubmed/35273292 http://dx.doi.org/10.1038/s41598-022-08015-4 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Kang, Gun Gu
So, Kyeong A
Hwang, Ji Young
Kim, Nae Ri
Yang, Eun Jung
Shim, Seung Hyuk
Lee, Sun Joo
Kim, Tae Jin
Ultrasonographic diagnosis and surgical outcomes of adnexal masses in children and adolescents
title Ultrasonographic diagnosis and surgical outcomes of adnexal masses in children and adolescents
title_full Ultrasonographic diagnosis and surgical outcomes of adnexal masses in children and adolescents
title_fullStr Ultrasonographic diagnosis and surgical outcomes of adnexal masses in children and adolescents
title_full_unstemmed Ultrasonographic diagnosis and surgical outcomes of adnexal masses in children and adolescents
title_short Ultrasonographic diagnosis and surgical outcomes of adnexal masses in children and adolescents
title_sort ultrasonographic diagnosis and surgical outcomes of adnexal masses in children and adolescents
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8913732/
https://www.ncbi.nlm.nih.gov/pubmed/35273292
http://dx.doi.org/10.1038/s41598-022-08015-4
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