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Standardizing the surgical management of benign ovarian tumors in children and adolescents: A best practice Delphi consensus statement.
Braungart, Sarah; Williams, Cara; Arul, Suren G; Bambang, Katerina; Craigie, Ross James; Cross, Kate Mary; Dick, Alistair; Hammond, Philip; Okoye, Bruce; Rogers, Timothy; Losty, Paul Damian; Glaser, Adam; Powis, Mark.
Afiliación
  • Braungart S; Department of Paediatric Surgery, Royal Manchester Children's Hospital, Manchester, UK.
  • Williams C; Department of Paediatric Surgery, Alder Hey Children's Hospital, Liverpool, UK.
  • Arul SG; Department of Paediatric Surgery, Alder Hey Children's Hospital, Liverpool, UK.
  • Bambang K; Department of Gynaecology, Liverpool Women's Hospital, Liverpool, UK.
  • Craigie RJ; Department of Paediatric Surgery, Birmingham Children's Hospital, Birmingham, UK.
  • Cross KM; Department of Reproductive Medicine, Liverpool Women's Hospital, Liverpool, UK.
  • Dick A; Department of Paediatric Surgery, Royal Manchester Children's Hospital, Manchester, UK.
  • Hammond P; Department of Paediatric Surgery, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
  • Okoye B; Department of Paediatric Surgery, Royal Belfast Hospital for Sick Children, Belfast, UK.
  • Rogers T; Department of Paediatric Surgery, Royal Hospital for Sick Children, Edinburgh, UK.
  • Losty PD; Department of Paediatric Surgery, St George's Hospital London, London, UK.
  • Glaser A; Department of Paediatric Surgery, Bristol Royal Hospital for Children, Bristol, UK.
  • Powis M; Department of Paediatric Surgery, Alder Hey Children's Hospital, Liverpool, UK.
Pediatr Blood Cancer ; 69(4): e29589, 2022 04.
Article en En | MEDLINE | ID: mdl-35118808
AIM: No widely agreed consensus protocols exist for the management of benign ovarian tumors (BOT) in children. This presents a substantial risk for suboptimal management. We aimed to generate multispecialty consensus guidance to standardize surgical management and provide a clear follow-up protocol for children with BOTs. METHODS: Prospective two-round confidential e-Delphi consensus survey distributed among multispecialty expert panel; concluded by two semistructured videoconferences. MAIN RESULTS: Consensus was generated on these core outcome sets: preoperative/intraoperative management; follow-up; adolescent gynecology referral. (1) Children with BOTs should receive the same management as other patients with potentially neoplastic lesions: Preoperative discussion at a pediatric oncology multidisciplinary meeting to risk stratify tumors, and management by health professionals with expertise in ovarian-sparing surgery and laparoscopy. (2) Ovarian-sparing surgery for BOTs should be performed wherever possible to maximize fertility preservation. (3) Ovarian masses detected during emergency laparoscopy/laparotomy should be left in situ wherever feasible and investigated appropriately (imaging/tumor markers) before resection. (4) Follow-up should be undertaken for all patients after BOT resection. Patients should be offered referral to adolescent gynecology to discuss fertility implications. CONCLUSION: This best practice Delphi consensus statement emphasizes the importance of managing children with BOTs through a well-defined oncological MDT strategy, in order to optimize risk stratification and allow fertility preservation by ovarian-sparing surgery wherever possible.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Ováricas / Preservación de la Fertilidad Tipo de estudio: Guideline / Observational_studies / Qualitative_research / Risk_factors_studies Límite: Adolescent / Child / Female / Humans Idioma: En Revista: Pediatr Blood Cancer Asunto de la revista: HEMATOLOGIA / NEOPLASIAS / PEDIATRIA Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Ováricas / Preservación de la Fertilidad Tipo de estudio: Guideline / Observational_studies / Qualitative_research / Risk_factors_studies Límite: Adolescent / Child / Female / Humans Idioma: En Revista: Pediatr Blood Cancer Asunto de la revista: HEMATOLOGIA / NEOPLASIAS / PEDIATRIA Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos