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Clinical characteristics of adnexal masses in Korean children and adolescents: retrospective analysis of 409 cases.

Abstract：

STUDY OBJECTIVE:To analyze the clinical characteristics of young Korean female children and adolescents who underwent surgery because of adnexal masses during the last 14 years. DESIGN:Retrospective cohort study (Canadian Task Force classification II-2). SETTING:University hospital. PATIENTS:Three hundred ninety-six young female patients aged 20 years or younger who underwent surgery because of adnexal masses between January 1995 and March 2009. INTERVENTIONS:None. MEASUREMENTS AND MAIN RESULTS:For over 14 years, 396 young patients underwent 409 operations because of adnexal masses (13 patients underwent 2 separate operations). Abdominal pain (n = 184 [45.0%]) was the most common initial symptom and was more frequent in group 1 (<11 years of age; n = 26 [70.4%]) than in group 2 (11-20 years of age; n = 370; [ 43.2%]) (p<.01). In group 2, menstrual problems were the second most common initial symptom (n = 80 [20.9%]), followed by incidental detection (n = 57; [14.9%]). In patients with malignant neoplasms, the incidence of menstrual problems was lower (p<.01) and abdominal distention was more common (p<.01) than in patients with benign neoplasms. The incidence of malignant neoplasms in our study was 14.9% and was correlated with increased mass size (p<.01). CONCLUSION:Knowing the clinical characteristics of young Korean females with adnexal masses will provide insight into the evaluation and surgical management of children and adolescents.

journal_name

J Minim Invasive Gynecol

journal_title

Journal of minimally invasive gynecology

authors

Ryoo U,Lee DY,Bae DS,Yoon BK,Choi D

doi

10.1016/j.jmig.2009.12.013

subject

Has Abstract

pub_date

2010-03-01 00:00:00

pages

209-13

issue

2

eissn

1553-4650

issn

1553-4669

pii

S1553-4650(09)01322-3

journal_volume

17

pub_type

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