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Pediatric Gynecologic Cancers.

Lauren Pommert1, William Bradley2

  • 1Children's Hospital of Wisconsin, Department of Pediatrics, Hematology/Oncology/BMT, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI, 53226, USA.

Current Oncology Reports
|May 15, 2017
PubMed
Summary
This summary is machine-generated.

Pediatric gynecologic cancers, including stromal, rhabdomyosarcomas, and germ cell tumors, have high survival rates. Treatment focuses on minimizing side effects and preserving fertility, often avoiding chemotherapy.

Keywords:
Genital rhabdomyosarcomaHuman papilloma virusPediatric Sertoli-Leydig cell tumorsPediatric germ cell tumorsPediatric juvenile granulosa cell tumorSmall cell ovarian carcinoma

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Area of Science:

  • Gynecologic Oncology
  • Pediatric Oncology
  • Reproductive Endocrinology

Background:

  • Pediatric gynecologic cancers are rare, with three main types: stromal (e.g., juvenile granulosa cell tumors), rhabdomyosarcomas, and germ cell tumors.
  • Treatment strategies aim to reduce long-term chemotherapy-related side effects.

Purpose of the Study:

  • To review the presentation, classification, diagnosis, and treatment of pediatric gynecologic cancers.
  • To highlight current approaches for managing these rare malignancies in young patients.

Main Methods:

  • Review of recent literature on pediatric gynecologic cancers.
  • Analysis of treatment outcomes and recommendations.

Main Results:

  • High event-free and overall survival rates are observed for these cancers.
  • Treatment emphasizes fertility preservation (unilateral salpingo-oophorectomy) and limited staging.
  • Chemotherapy is often reserved for recurrent disease, with recent evidence supporting its avoidance even in high-grade germ cell tumors.

Conclusions:

  • Current treatment paradigms for pediatric gynecologic cancers prioritize minimizing morbidity and preserving fertility.
  • Surveillance of tumor markers aids in monitoring disease progression.
  • Avoiding chemotherapy, even in aggressive subtypes, is increasingly supported by recent findings.