Evaluation and Treatment Results of Ovarian Cysts in Childhood and Adolescence: A Multicenter, Retrospective Study of 100 Patients

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dc.authoridCebeci, Ayse Nurcan/0000-0001-8129-9056
dc.authoridErcan, Oya/0000-0001-7397-2837
dc.authoridTuran, Serap/0000-0002-5172-5402
dc.authoridBezen, Diğdem/0000-0003-3977-5527
dc.authoridPoyrazoglu, Sukran/0000-0001-6806-9678
dc.authoridHatun, Sukru/0000-0003-1633-9570
dc.authoridbereket, abdullah/0000-0002-6584-9043
dc.authorwosidCebeci, Ayse Nurcan/AAD-3565-2021
dc.authorwosidercan, oya/AAS-5035-2020
dc.authorwosidHaliloglu, Belma/AGO-1638-2022
dc.authorwosidErcan, Oya/A-9654-2018
dc.authorwosidDarendeliler, Feyza/AAH-1013-2020
dc.authorwosidBundak, Ruveyde/AAA-4167-2022
dc.authorwosidTuran, Serap/U-7195-2018
dc.contributor.authorAydin, Banu Kucukemre
dc.contributor.authorSaka, Nurcin
dc.contributor.authorBas, Firdevs
dc.contributor.authorYilmaz, Yasin
dc.contributor.authorHaliloglu, Belma
dc.contributor.authorGuran, Tulay
dc.contributor.authorTuran, Serap
dc.date.accessioned2024-06-12T11:11:51Z
dc.date.available2024-06-12T11:11:51Z
dc.date.issued2017
dc.departmentTrakya Üniversitesien_US
dc.description.abstractStudy Objective: To investigate the characteristics of children with ovarian cysts and evaluate treatment strategies. Design: Retrospective study. Setting: Eight pediatric endocrinology clinics, Turkey. Participants: A total of 100 children and adolescents with ovarian cysts. Interventions: Patient data collected via retrospective chart review. Patients were stratified according to age into 4 groups (newborns, 1-12 months, 1-8 years, and 8-18 years). Main Outcome Measures: Special emphasis was given to torsion and tumor cases, concomitant diseases, treatment modalities, and problems during follow-up. Results: Most newborns and infants were asymptomatic with the cysts being discovered incidentally; in girls ages 1-8, symptoms were common, including breast budding (47.1%, 16 of 34) and vaginal bleeding (29.4%, 10 of 34). Girls older than 8 years mostly presented with abdominal pain (31.6%, 12 of 38) and menstrual irregularity (21.1%, 8 of 38). Most of our patients were diagnosed with a simple ovarian cyst, but 9 patients were found to have ovarian tumors. Ovarian torsion was detected in 7 patients; 5 with large and 2 with small cysts (! 20 mm). Two patients had central precocious puberty (CPP) at presentation and 5 patients developed CPP during follow-up. The surgical intervention rate was high (38%, 38 of 100), but was associated with earlier treatment year, and this association remained significant after adjusting for confounders (P = .035). Conclusion: Most girls have simple cysts, which have a favorable prognosis without intervention; however, there might be coexisting pathologies or complications such as tumors, torsion, and CPP; hence these patients should be evaluated accordingly and treated with a multidisciplinary approach.en_US
dc.identifier.doi10.1016/j.jpag.2017.01.011
dc.identifier.endpage455en_US
dc.identifier.issn1083-3188
dc.identifier.issn1873-4332
dc.identifier.issue4en_US
dc.identifier.pmid28167139en_US
dc.identifier.scopus2-s2.0-85018402000en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage449en_US
dc.identifier.urihttps://doi.org/10.1016/j.jpag.2017.01.011
dc.identifier.urihttps://hdl.handle.net/20.500.14551/22959
dc.identifier.volume30en_US
dc.identifier.wosWOS:000411022100003en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofJournal Of Pediatric And Adolescent Gynecologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectOvarian Cysten_US
dc.subjectOvarian Tumoren_US
dc.subjectOvarian Torsionen_US
dc.subjectPrecocious Pubertyen_US
dc.subjectAromatase Inhibitorsen_US
dc.subjectCongenital Adrenal-Hyperplasiaen_US
dc.subjectMccune-Albright Syndromeen_US
dc.subjectStimulatory G-Proteinen_US
dc.subjectPrecocious Pubertyen_US
dc.subject21-Hydroxylase Deficiencyen_US
dc.subjectActivating Mutationsen_US
dc.subjectChildrenen_US
dc.subjectManagementen_US
dc.subjectNeonateen_US
dc.subjectTorsionen_US
dc.titleEvaluation and Treatment Results of Ovarian Cysts in Childhood and Adolescence: A Multicenter, Retrospective Study of 100 Patientsen_US
dc.typeArticleen_US

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