Chen XiaoLi, Cai DuoTe, Chen Yi, Chen Weiwei, Zhang YueBin, Gao ZhiGang, Chen QingJiang
Zhejiang University School of Medicine, The Children's Hospital, National Clinical Research Center For Child Health, Department of General Surgery, Zhejiang, China.
Zhejiang University School of Medicine, The Children's Hospital, National Clinical Research Center For Child Health, Department of General Surgery, Zhejiang, China.
J Pediatr (Rio J). 2025 Jul-Aug;101(4):595-600. doi: 10.1016/j.jped.2025.03.009. Epub 2025 May 10.
To evaluate the prognosis of benign ovarian tumors and develop a postoperative surveillance strategy for children based on the findings.
The clinical data of children with benign ovarian tumors treated in the hospital from January 2014 to December 2021 were retrospectively analyzed.
A total of 404 patients were included in this study, with an average age of 9.1 ± 3.1 years. All patients underwent a total of 423 procedures, including 61 oophorectomy and 362 ovary-sparing surgeries. 67 patients were lost to follow-up after surgery. The remaining 337 patients were followed up for a period ranging from 3 months to 9 years (mean 1.6 ± 1.8 years). The ovarian preservation rate for patients undergoing ovary-sparing surgery for the first time was 94.4% (271/287). The overall recurrence rate of benign ovarian tumors was 3.9% (13/337). Of the 13 patients with recurrence, 10 had regular imaging examinations and did not develop symptoms. Three patients had irregular follow-up after surgery and returned to the hospital due to symptoms. The first recurrence interval of these 13 patients after surgery ranged from 0.6 to 5.3 years (mean 2.0 ± 1.4 years). 84.6% (11/13) of the recurrence cases developed within 3 years after surgery.
Ovary-sparing surgery for benign ovarian tumors has a favorable prognosis and a high rate of ovarian preservation. Regular follow-up after surgery for benign ovarian tumors is necessary. Annual imaging follow-up for at least 3 years postoperative can detect most recurrence cases.
评估儿童良性卵巢肿瘤的预后，并根据研究结果制定术后监测策略。
回顾性分析2014年1月至2021年12月在本院接受治疗的儿童良性卵巢肿瘤患者的临床资料。
本研究共纳入404例患者，平均年龄9.1±3.1岁。所有患者共接受了423次手术，其中卵巢切除术61例，保留卵巢手术362例。67例患者术后失访。其余337例患者随访3个月至9年（平均1.6±1.8年）。首次接受保留卵巢手术患者的卵巢保留率为94.4%（271/287）。良性卵巢肿瘤的总体复发率为3.9%（13/337）。13例复发患者中，10例进行了定期影像学检查且未出现症状。3例患者术后随访不规律，因出现症状返回医院。这13例患者术后首次复发间隔时间为0.6至5.3年（平均2.0±1.4年）。84.6%（11/13）的复发病例在术后3年内出现。
良性卵巢肿瘤保留卵巢手术预后良好，卵巢保留率高。良性卵巢肿瘤术后需要定期随访。术后至少3年每年进行影像学随访可发现大多数复发病例。
