Re: Pediatric Dermoid

From: Philip Suarez, M.D. (philip@ICSI.Net)
Sun Jun 23 11:48:45 1996


> Interesting case: 3yr old girl who had an abdominal CT scan because
> of abdominal pain that turned out to be due to strep throat.
> Incidental finding was a 3cm ovarian mass with a tooth in it,
> presumably a mature cystic teratoma. Any thoughts on whether it
> should come out now or later? Anyone with experience with
> laparoscopic surgery in pediatric patients? I await enlightenment.

I would remove it now. The malignant potential of such a mass in a young child is greater. I think this is NOT a case for conservative management. Further, I would NOT consider laparoscopic surgery in such a small patient. I would involve a pediatric surgeon and explore her.

Regards,

Philip

----------------------------------------------------- Philip Suarez, M.D. philip@icsi.net ----------------------------------------------------- Fellow - American College Ob/Gyn

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