Document Detail

Surgically treated adnexal masses in infancy, childhood, and adolescence.
MedLine Citation:
PMID:  8203439     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: We retrospectively evaluated the clinical presentation and histopathologic findings of benign and malignant adnexal masses in infants, children, and adolescents. STUDY DESIGN: Between 1955 and 1992, 486 patients (aged 7 days through 20 years) with adnexal masses were surgically evaluated. RESULTS: Of 521 adnexal masses, 92% were benign, including 335 nonneoplastic and 144 of 186 (77%) neoplastic lesions. The frequency of ovarian malignancies correlated inversely with patient age. Germ cell, stromal, and epithelial malignancies accounted for 40%, 21%, and 33%, respectively, of the 42 cancers. Nonconcordance between preoperative and postoperative diagnoses was noted in 94 cases. The most common preoperative diagnosis necessitating reassignment was acute appendicitis. During the last decade of this study, ultrasonography and computed tomography missed no malignancies. CONCLUSION: Physicians who care for young girls must be familiar with the differential diagnosis of adnexal masses to advise conservative management when appropriate and surgical intervention when necessary.
J T van Winter; P S Simmons; K C Podratz
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  170     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1994 Jun 
Date Detail:
Created Date:  1994-07-07     Completed Date:  1994-07-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1780-6; discussion 1786-9     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN 55905.
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MeSH Terms
Academic Medical Centers
Adnexal Diseases / diagnosis,  epidemiology*,  pathology,  surgery
Child, Preschool
Diagnosis, Differential
Diagnostic Errors
Infant, Newborn
Ovarian Neoplasms / epidemiology,  pathology,  surgery
Retrospective Studies

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