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Related Experiment Videos

Pelvic tumours in adolescence.

Thomas Ind1, John Shepherd

  • 1Royal Marsden Hospital, Fulham Road, London, SW3 6JJ, UK. tomind@freeserve.co.uk

Best Practice & Research. Clinical Obstetrics & Gynaecology
|May 22, 2003
PubMed
Summary

Malignant pelvic tumors are rare in adolescents. Treatment focuses on conservative surgery to preserve function, with a good prognosis and curative intent for most cases.

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Area of Science:

  • Gynecologic Oncology
  • Adolescent Medicine
  • Pediatric Oncology

Background:

  • Malignant pelvic tumors are uncommon in adolescents.
  • Key types include ovarian germ-cell and stromal tumors, genital rhabdomyosarcomas, and cervico-vaginal clear-cell adenocarcinomas.
  • Diethylstilbestrol (DES) use in pregnancy has decreased clear-cell adenocarcinoma incidence, but rising sexual activity increases cervical cancer and gestational trophoblastic tumor rates.

Purpose of the Study:

  • To review the epidemiology and management of malignant pelvic tumors in adolescents.
  • To emphasize the importance of multidisciplinary care and conservative surgical approaches.
  • To discuss the generally favorable prognosis and curative treatment intent for these rare cancers.

Main Methods:

  • Review of existing literature on adolescent pelvic malignancies.
  • Analysis of common tumor types, incidence trends, and treatment strategies.
  • Emphasis on surgical principles and long-term functional outcomes.

Main Results:

  • Ovarian germ-cell and stromal tumors, rhabdomyosarcomas, and clear-cell adenocarcinomas are primary concerns.
  • Increasing incidence of cervical cancer and gestational trophoblastic tumors noted.
  • Conservative surgery is recommended to preserve sexual and reproductive health.

Conclusions:

  • Adolescent pelvic cancers require specialized, multidisciplinary management.
  • Surgical approaches should prioritize fertility preservation.
  • Most malignant pelvic tumors in adolescents have a good prognosis with curative treatment.

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