STANDARDISING THE SURGICAL MANAGEMENT OF BENIGN OVARIAN TUMOURS IN CHILDREN AND ADOLESCENTS : A BEST PRACTICE DELPHI CONSENSUS STATEMENT

Losty, Paul ORCID: 0000-0003-0841-5879 (2022) STANDARDISING THE SURGICAL MANAGEMENT OF BENIGN OVARIAN TUMOURS IN CHILDREN AND ADOLESCENTS : A BEST PRACTICE DELPHI CONSENSUS STATEMENT. Pediatric Blood and Cancer, 69 (4). e29589-.

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Abstract

<h4>Aim</h4>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.<h4>Methods</h4>Prospective two-round confidential e-Delphi consensus survey distributed among multispecialty expert panel; concluded by two semistructured videoconferences.<h4>Main results</h4>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.<h4>Conclusion</h4>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.

Item Type:	Article
Uncontrolled Keywords:	Delphi survey, fertility preservation, ovarian teratoma, ovarian tumor, ovary-sparing operations, pediatric, surveillance
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Clinical Directorate
Depositing User:	Symplectic Admin
Date Deposited:	22 Feb 2022 08:51
Last Modified:	03 Mar 2023 10:57
DOI:	10.1002/pbc.29589
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3149357