Retrospective case series demonstrates technical feasibility of ovarian-sparing surgery with tumor removal in pediatric patients, suggesting potential for preserving fertility.
Key Points
This study aims to assess the feasibility of exoscope-assisted ovarian-sparing surgery for bilateral ovarian tumors in pediatric patients.
Conducted a retrospective case series of four patients with bilateral mature teratomas at a Brazilian pediatric cancer center from 2020 to 2024.
Utilized exoscopic magnification combined with intraoperative ultrasonography during open surgical procedures.
Included only patients with imaging consistent with benign lesions and normal serum tumor markers.
All patients had mature teratomas confirmed on final pathology.
No intraoperative capsular ruptures occurred during the procedures.
Two patients maintained regular spontaneous menses post-surgery, while one developed clinical hypogonadism and required hormone therapy.