Araştırma Makalesi

From neonate to adolescent: A review of ovarian mass management in a single center

Cilt: 65 Sayı: 3 3 Eylül 2026
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From neonate to adolescent: A review of ovarian mass management in a single center

Öz

Aim: Pediatric ovarian and adnexal masses encompass a broad spectrum of benign and malignant pathologies, with management strategies ranging from observation to surgery. This study aimed to evaluate the clinical presentation, management approaches, surgical outcomes, and histopathological findings of pediatric ovarian and adnexal masses across the full age spectrum, from the neonatal period to adolescence, at a single tertiary center. Materials and Methods: A retrospective analysis was conducted on the demographic, laboratory, sonographic, surgical, and histopathological data of pediatric patients (0-18 years) who were followed up and treated for adnexal cysts/masses in our clinic between 2018 and 2024. Subgroup analyses were conducted between neonatal and non-neonatal patients. Results: A total of 786 of 1000 screened patients were included in the final analysis, with a mean age of 11.99 ± 5.28 years; 93 patients (11.8%) were in the neonatal period. Conservative management was the predominant strategy, used in 634 patients (80.7%), while 152 patients (19.3%) underwent surgery. Among operated patients, ovarian-sparing procedures were most common, with cyst excision performed in 99 patients. Oophorectomy was required in 32 patients, and salpingo-oophorectomy in 21 patients. Histopathological evaluation demonstrated predominantly benign lesions (98%), with only two malignant tumors identified. The rate of surgical intervention did not differ significantly between neonatal and non-neonatal patients (14.0% vs. 20.1%, p=0.163). However, neonatal patients had significantly higher ovarian loss rates among operated cases (p=0.007). Conclusions: Pediatric adnexal masses are predominantly benign and can be safely managed conservatively in most patients. When surgery is required, ovarian preservation should be prioritized whenever feasible. Neonatal patients represent a distinct subgroup with longer surveillance needs and higher rates of ovarian loss, supporting age-specific management strategies.

Anahtar Kelimeler

Kaynakça

  1. 1. Parks MA. Adnexal cysts and benign masses in the pediatric and adolescent population: A review. Semin Pediatr Surg. 2025;37:151541.
  2. 2. Yeap ST, Hsiao CC, Hsieh CS, Yu HR, Chen YC, Chuang JH, et al. Pediatric malignant ovarian tumors: 15 years of experience at a single institution. Pediatr Neonatol. 2011;52(3):140-4.
  3. 3. Stankovic Z. Ovarian Cysts and Tumors in Adolescents. Obstet Gynecol Clin North Am. 2024;51(4):695-710.
  4. 4. Liu H, Wang X, Lu D, Liu Z, Shi G. Ovarian masses in children and adolescents in China: analysis of 203 cases. J Ovarian Res. 2013;6:47.
  5. 5. 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(3):e73-7.
  6. 6. Heo SH, Kim JW, Shin SS, Jeong SI, Lim HS, Choi YD, et al. Review of ovarian tumors in children and adolescents: radiologic-pathologic correlation. Radiographics. 2014;34(7):2039-55.
  7. 7. Boztas AE, Sencan E, Payza AD, Sencan A. An Innovative Machine Learning-Based Algorithm for Diagnosing Pediatric Ovarian Torsion. J Pediatr Surg. 2025;60(9):162417. doi:10.1016/j.jpedsurg.2025.162417
  8. 8. Birbas E, Kanavos T, Gkrozou F, Skentou C, Daniilidis A, Vatopoulou A. Ovarian Masses in Children and Adolescents: A Review of the Literature with Emphasis on the Diagnostic Approach. Children (Basel). 2023;10(7).

Ayrıntılar

Birincil Dil

İngilizce

Konular

Klinik Tıp Bilimleri (Diğer)

Bölüm

Araştırma Makalesi

Yazarlar

Yayımlanma Tarihi

3 Eylül 2026

Gönderilme Tarihi

22 Nisan 2026

Kabul Tarihi

16 Temmuz 2026

Yayımlandığı Sayı

Yıl 2026 Cilt: 65 Sayı: 3

DOI

https://doi.org/10.19161/etd.1935423

IZ

https://izlik.org/JA23TH76CP

Kaynak Göster

RIS / Bibtex
APA
Boztas, A. E., Payza, A. D., Perçin, S., & Şencan, A. (2026). From neonate to adolescent: A review of ovarian mass management in a single center. Ege Tıp Dergisi, 65(3), 547-555. https://doi.org/10.19161/etd.1935423
AMA
1.Boztas AE, Payza AD, Perçin S, Şencan A. From neonate to adolescent: A review of ovarian mass management in a single center. ETD. 2026;65(3):547-555. doi:10.19161/etd.1935423
Chicago
Boztas, Asya Eylem, Ayşe Demet Payza, Süleyman Perçin, ve Arzu Şencan. 2026. “From neonate to adolescent: A review of ovarian mass management in a single center”. Ege Tıp Dergisi 65 (3): 547-55. https://doi.org/10.19161/etd.1935423.
EndNote
Boztas AE, Payza AD, Perçin S, Şencan A (01 Eylül 2026) From neonate to adolescent: A review of ovarian mass management in a single center. Ege Tıp Dergisi 65 3 547–555.
IEEE
[1]A. E. Boztas, A. D. Payza, S. Perçin, ve A. Şencan, “From neonate to adolescent: A review of ovarian mass management in a single center”, ETD, c. 65, sy 3, ss. 547–555, Eyl. 2026, doi: 10.19161/etd.1935423.
ISNAD
Boztas, Asya Eylem - Payza, Ayşe Demet - Perçin, Süleyman - Şencan, Arzu. “From neonate to adolescent: A review of ovarian mass management in a single center”. Ege Tıp Dergisi 65/3 (01 Eylül 2026): 547-555. https://doi.org/10.19161/etd.1935423.
JAMA
1.Boztas AE, Payza AD, Perçin S, Şencan A. From neonate to adolescent: A review of ovarian mass management in a single center. ETD. 2026;65:547–555.
MLA
Boztas, Asya Eylem, vd. “From neonate to adolescent: A review of ovarian mass management in a single center”. Ege Tıp Dergisi, c. 65, sy 3, Eylül 2026, ss. 547-55, doi:10.19161/etd.1935423.
Vancouver
1.Asya Eylem Boztas, Ayşe Demet Payza, Süleyman Perçin, Arzu Şencan. From neonate to adolescent: A review of ovarian mass management in a single center. ETD. 01 Eylül 2026;65(3):547-55. doi:10.19161/etd.1935423

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