Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comparative Study
. 2020 Jan-Jun;17(1-2):33-38.
doi: 10.4103/ajps.AJPS_64_20.

Management of pediatric benign ovarian tumors in England and Egypt: A comparative study

Ahmed Elgendy  1 , Bhanumathi Lakshminarayanan  2 , Ahmed Elrouby  3 , Mahmoud Mostafa  4 , Mohamed Abouelmagd Salem  5 , Kerry Turner  6 , Ahmed Khairi  3 , Roly Squire  2 , Sherif M K Shehata  7 , Sameh Shehata  3 , Mark Powis  2
Affiliations
Comparative Study

Management of pediatric benign ovarian tumors in England and Egypt: A comparative study

Ahmed Elgendy et al. Afr J Paediatr Surg. 2020 Jan-Jun.

Abstract

Aim of the study: We aimed to compare the management of pediatric benign ovarian tumors between an English center and three Egyptian institutions.

Materials and methods: This was a retrospective review of all children presenting with benign ovarian tumors between January 2014 and January 2019. A standardized dataset was used to compare between both sides.

Results: Eighty-nine patients were included (54 English and 35 Egyptians). Median age at diagnosis in England was 13 years (2-16y), while in Egypt it was 7 years (9m-16y) with P =0.001. Mature teratomas or dermoid cysts were the most common findings in England and Egypt; 75.9% and 82.8% of cases, respectively. The presentation with an acute abdomen represented 27.8% of English and 28.6% of Egyptian patients. Incidentally diagnosed lesions constituted 15% of English patients, whereas none of the Egyptian cases were discovered incidentally. There were variations in diagnostic imaging; England: Ultrasound (USS) (54), magnetic resonance imaging (MRI) (37), and computed tomography (CT) (only one)-Egypt: USS (35), CT (17), and MRI (only one). Minimally invasive surgery (MIS) was performed in 15% of English and 23% of Egyptian patients (P = 0.334). Ovarian-sparing surgery (OSS) was performed in: England 35%, Egypt 37%; P = 0.851. OSS was performed using MIS in 87.5% (7/8) of English patients and 100% (8/8) of Egyptians. Patients presented as emergencies generally had open oophorectomies: England; 86.7% open and 80% oophorectomy-Egypt; 100% open and 90% oophorectomy. Recurrences or metachronous disease occurred in 5.6% of English and 5.7% of Egyptian patients.

Conclusions: There were no significant differences regarding surgical management, tumor pathology, and recurrence or metachronous disease. However, age, incidental diagnosis, and imaging modalities showed notable differences. MIS was correlated with ovarian preservation, whereas emergency surgery generally resulted in open oophorectomy.

Keywords: Children; minimally invasive surgery; ovarian tumors; ovarian-sparing surgery.

PubMed Disclaimer

Conflict of interest statement

None

Figures

Figure 1
Figure 1
Surgical approach and type of surgery performed in English patients
Figure 2
Figure 2
Surgical approach and type of surgery performed in Egyptian patients
Figure 3
Figure 3
Management of patients with ovarian torsion in both countries
See this image and copyright information in PMC

References

    1. Zhang M, Jiang W, Li G, Xu C. Ovarian masses in children and adolescents-An analysis of 521 clinical cases. J Pediatr Adolesc Gynecol. 2014;27:e73–7. - PubMed
    1. Lindfors O. Primary ovarian neoplasms in infants and children.A study of 81 cases diagnosed in Finland and Sweden. Ann Chir Gynaecol Fenn Suppl. 1971;177:1–66. - PubMed
    1. Martelli H, Patte C. Gonadal tumours in children. Arch Pediatr. 2003;10:246–50. - PubMed
    1. Ehrlich PF, Teitelbaum DH, Hirschl RB, Rescorla F. Excision of large cystic ovarian tumors: Combining minimal invasive surgery techniques and cancer surgery-the best of both worlds. J Pediatr Surg. 2007;42:890–3. - PubMed
    1. Sarnacki S, Brisse H. Surgery of ovarian tumors in children. Horm Res Paediatr. 2011;75:220–4. - PubMed