Critical elements in the operative management of pediatric malignant ovarian germ cell tumors.

Brent R Weil, Barrie S Rich, Arin L Madenci, Kathryn C Stambough, Nicholas Schmoke, Alyssa Peace, Jennifer L Bruny, Frederick J Rescorla, Bryan J Dicken, Jennifer E Dietrich, Deborah F Billmire

Journal: Seminars in pediatric surgery 2024;32(5):151342

PMID: 38039829

Full Text on Elsevier Science View on PubMed

Abstract

Performance of the appropriate operation is highly important to ensure that any patient with a suspected ovarian germ cell tumor receives optimal therapy that prioritizes cure while simultaneoulsy minimizing risk of short and long-term toxicities of treatment. The following critical elements of any operative procedure performed for a suspected pediatric or adolescent ovarian germ cell tumor are reviewed: 1. Complete resection of the tumor via ipsilateral oophorectomy while avoiding tumor rupture and spillage, and 2. Performance of complete intraperitoneal staging at the time of initial tumor resection.

Address: Department of Pediatric Surgery, Boston Children's Hospital, Harvard University, Boston, United State; Department of Pediatric Oncology, Dana-Farber Cancer Institute, Harvard University, Boston, United States. Electronic address: [email protected].; Division of Pediatric Surgery, Cohen Children's Medical Center, Zucker School of Medicine at Northwell/Hofstra, NY, United States.; Department of Pediatric Surgery, Boston Children's Hospital, Harvard University, Boston, United State.; Division of Pediatric and Adolescent Gynecology, Arkansas Children's Hospital, University of Arkansas School for Medical Sciences, Little Rock, United States.; Division of Pediatric Surgery, Children's Hospital of Colorado, University of Colorado Anschutz Medical Center, Denver, United States.; Division of Pediatric Surgery, Riley Children's Hospital, Indiana University School of Medicine, Indianapolis, United States.; Division of Pediatric Surgery, Stollery Children's Hospital, University of Alberta, Edmonton, Canada.; Division of Pediatric and Adolescent Gynecology, Texas Children's Hospital, Baylor College of Medicine, United States.

DOI: 10.1016/j.sempedsurg.2023.151342

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MeSH Terms: Adolescent, Child, Female, Humans, Neoplasm Staging, Neoplasms, Germ Cell and Embryonal, Ovarian Neoplasms