Endocrine Abstracts

Introduction: The ovarian tumors are benign or malignant, primary or secondary proliferative processes, cystic aspect, solid or vegetating, whose growth is not directly related to a Hormonal dysfunction. They can grow at the coating tissue, be embryonic or endocrine origin.

Aim: Assess the frequency of ovarian tumors and clarify their phenotypic and evolutionary characteristics.

Population and methodology: This is a retrospective study about patients with ovarian tumors and hospitalized between 1982 and 2013

Results: 17 cases were identified. Mean age was 28 years ±1.2. Three patients had an age <10 years and three between 13 and 15 years reasons for consultation were hyperandrogenism (60%), tumor syndrome (30%) precocious puberty (10% cases). Ovarian tumors of children and adolescents are secreting in three cases. They are revealed by pelvic pain in 80% of cases. The average tumor size was 6.4±1.2 cm with suspicious aspect of radiology in 33% of cases. The histological types found are teratoma (40%), arrhénoblastome (20%) tumor granulosa (10%), mucinous cystadenocarcinoma and dermoid cyst (20%) we found one ectopic corticossurénalome and one goiter in ovarian. tumors were germline. In all children 83% of tumors were treated surgically. Monitoring were decided in other cases (teratomas) 33% of cases were neoplastic requiring additional chemotherapy. The outcome was variable. Bilateralization (one granulosa tumor and two deaths (adrenocortical, arrhénoblastome) A cure was observed in other cases.

Discussion and conclusion: Ovarian tumor is difficult disease clinically, histologically and prognostically. Cancer accounts for 25–35% of etiologies. Surgical exploration affirm the cancerous nature and specify the stage of evolution. The ovarian tumors can occur at any age over puberty and before menopause. They are often discovered during a pelvic ultrasound, or pain, rarely menstrual disorders. Ovarian tumors are rare in children, 2/3 are benign in nature and germline.