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Human Reproduction, Vol. 15, No. 12, 2669-2672, December 2000
© 2000 European Society of Human Reproduction and Embryology

The management of mature cystic teratomas in children and adolescents: a retrospective analysis

Claire L. Templeman1, S.Paige Hertweck1, James P. Scheetz2, Sally E. Perlman1 and Mary E. Fallat3,4

1 Divisions of Pediatric Gynecology, Department of Obstetrics and Gynecology, 2 Diagnostic Sciences, Department of Dentistry and 3 Pediatric Surgery, Department of Surgery, University of Louisville, Louisville, Kentucky, USA

Mature cystic teratomas (MCT) are the most common ovarian tumours seen in children and adolescents. Fifty-two patients <21 years of age had surgical removal of an MCT, 14 of whom were approached laparoscopically. Compared with laparotomy, those patients managed laparoscopically had a significantly shorter hospital stay. Intra-operative tumour spillage occurred in 27 (52%) patients; there were no cases of chemical peritonitis. Available follow-up data on 34 (65%) patients revealed seven pregnancies occurring at a median of 70 months (46–123) postoperatively, including four in patients with intraoperative MCT spill. There were no cases of tumour recurrence during the follow-up period among the 27 (52%) patients managed with ovarian cystectomy. These results demonstrate that some of the conclusions regarding the contemporary management of MCT in adults are applicable to children and adolescents.

Key words: adolescents/children/ovarian/teratoma

4 To whom correspondence should be addressed at: Kosair Children's Hospital, P.O. Box 35070, Louisville, KY 40232-5070, USA. E-mail: mefall01{at}athena.louisville.edu


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