Persano Giorgio, Severi Elisa, Cantone Noemi, Incerti Filippo, Ciardini Enrico, Noccioli Bruno
Department of Pediatric Surgery.
Department of Neonatal and Emergency Surgery, Azienza Ospedaliero-Universitaria Meyer, Firenze, Italy.
Pediatr Rep. 2018 Sep 25;10(3):7752. doi: 10.4081/pr.2018.7752.
Ovarian neoplasms arising from the surface epithelium are rare in the pediatric population; their knowledge is therefore limited and the appropriate management is poorly defined. We describe our experience and suggest our surgical approach to adolescents affected by voluminous ovarian masses. Two 15-year-old adolescents were admitted to our institution in 2017 for multilobulated, fluid-filled masses measuring over 30 cm arising from the ovaries. The cystic component was drained intraoperatively with a spillage-free technique, consisting in the application of a sterile autoadhesive transparent drape on the cyst and the insertion of a 12 Ch pleural drain, secured with a purse-string suture. Unilateral salpingo-oophorectomy was then carried out. Histology revealed mucinous cystadenoma in both patients. Surgical treatment of ovarian masses should aim at both radically excising the tumor and preserving the fertility of the patients. Decompression with spillage-free techniques can be useful to achieve radical therapy with limited manipulation of tissues.
起源于表面上皮的卵巢肿瘤在儿科人群中很少见；因此，我们对它们的了解有限，且合适的治疗方法也不明确。我们描述了我们的经验，并提出了针对受巨大卵巢肿块影响的青少年的手术方法。2017年，两名15岁的青少年因卵巢出现多叶、充满液体且直径超过30厘米的肿块而入住我们的机构。术中采用无渗漏技术引流囊性成分，该技术包括在囊肿上应用无菌自粘透明敷料，并插入一根12F的胸腔引流管，用荷包缝合固定。然后进行单侧输卵管卵巢切除术。组织学检查显示两名患者均为黏液性囊腺瘤。卵巢肿块的手术治疗应旨在彻底切除肿瘤并保留患者的生育能力。采用无渗漏技术进行减压有助于在有限的组织操作下实现根治性治疗。
