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Ovarian Teratoma
Everything in the library about ovarian teratoma — built automatically from the recorded discussions that name it
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
Surgical Management
2 items
Ovarian Teratoma - Ovarian Torsion - Soft Tissue Sarcoma: Update Course 2015
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Dr. Andrea Hayes Jordan discusses ovarian teratomas, ovarian torsion, soft tissue sarcomas. Her presentation covers ovarian masses, ovarian germ cell tumors and treatment, bilateral ovarian disease, ovarian preservation technique, IRS clini
video34:37 · Nov 2018
Compiled Hayes Jordan Rapid Fire Sessions: Update Course 2015
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Dr. Andrea Hayes Jordan from Children's Cancer discusses ovarian teratomas, ovarian torsion, soft tissue sarcomas. Her presentation covers ovarian masses, ovarian germ cell tumors and treatment, bilateral ovarian disease, ovarian preservati
video33:36 · Jan 2019
Evidence & Research
1 item
What's New in Pediatric Surgery 2020 - FULL SHOW
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Cincinnati Children’s Hospital, in partnership with the Journal of Pediatric Surgery, hosted a live interactive session where we discussed some of the top practice-changing publications of 2020
video57:41 · Oct 2020
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Every expert statement below comes from the recorded discussions, with its speaker and moment.
Ovarian Teratoma - Ovarian Torsion - Soft Tissue Sarcoma: Update Course 2015
80% of ovarian masses are teratomas
epidemiologicalAndrea Hayes-Jordan1:25 ↗
In the year 2000, girls with ovarian germ cell tumors have almost 100% survival
epidemiologicalAndrea Hayes-Jordan1:50 ↗
Stage one ovarian tumors limited to the ovary now receive only oophorectomy without chemotherapy
guidelineAndrea Hayes-Jordan2:14 ↗
Microscopic residual and lymph node involvement in ovarian tumors require chemotherapy
guidelineAndrea Hayes-Jordan2:26 ↗
25% of girls with ovarian germ cell tumors will be missed if peritoneal cytology and washings are not performed
epidemiologicalAndrea Hayes-Jordan3:16 ↗
If staging procedures are omitted from the operative report, oncologists will treat ovarian tumors as stage 2
clinicalAndrea Hayes-Jordan3:54 ↗
Gliomatosis peritonei is a benign disease appearance associated with ovarian teratomas with nearly 100% survival
clinicalAndrea Hayes-Jordan4:41 ↗
In bilateral ovarian disease, tumors larger than 10 cm should definitely be biopsied
guidelineAndrea Hayes-Jordan5:37 ↗
If an ovarian tumor is ruptured during laparoscopic removal, the patient is committed to chemotherapy including platinum
clinicalDan7:11 ↗
15% of ovarian tumors in adolescents are epithelial tumors with different staging criteria than germ cell tumors
epidemiologicalDan7:19 ↗
If alpha-fetoprotein and beta-HCG levels are normal preoperatively, there is some comfort about draining a cyst without contamination
clinicalAndrea Hayes-Jordan8:07 ↗
The salvage rate for recurrent ovarian germ cell tumors is almost 100% because chemotherapy is very effective
clinicalDan12:15 ↗
Ovarian torsion is an urgent but not emergent situation if the goal is to preserve the ovary
guidelineAndrea Hayes-Jordan13:40 ↗
Many black-colored ovaries from torsion have viable follicles and ovarian preservation should be the goal
clinicalAndrea Hayes-Jordan13:40 ↗
76% of ovaries removed for torsion had normal ovarian tissue, only 13% had no ovarian tissue, and only 11% were completely necrotic
epidemiologicalAndrea Hayes-Jordan15:44 ↗
Pain after oophoropexy is usually short-lived and resolves in about a week
clinicalAndrea Hayes-Jordan16:34 ↗
The ability to preserve ovarian function after torsion is related to age, with pediatric patients having more active follicles than older adults
clinicalAndrea Hayes-Jordan16:58 ↗
Ultrasound Doppler for ovarian torsion has sensitivity and specificity in the 50-60% range
clinicalAndrea Hayes-Jordan21:03 ↗
Blood flow on ultrasound does not exclude torsion because the ovary may be twisted but not completely occluded at that moment in time
Host summaryTodd Ponsky summarizing the discussion — not the host's own clinical position22:35 ↗
Half of soft tissue sarcomas are rhabdomyosarcomas and half are non-rhabdo sarcomas
epidemiologicalAndrea Hayes-Jordan25:58 ↗
Abdominal, pelvic, and retroperitoneal rhabdomyosarcomas have the worst survival while orbital rhabdomyosarcomas have the best survival
epidemiologicalAndrea Hayes-Jordan26:22 ↗
Even small tumors in the extremity or abdomen can only achieve stage 2 at best (not stage 1) in rhabdomyosarcoma staging
clinicalAndrea Hayes-Jordan27:04 ↗
Surgical extent determines clinical group in rhabdomyosarcoma: group 1 is complete resection, group 2 is microscopic residual, group 3 is biopsy only
guidelineAndrea Hayes-Jordan27:15 ↗
Group 1 and 2 rhabdomyosarcoma patients have excellent prognosis while group 3 patients do more poorly
clinicalAndrea Hayes-Jordan27:27 ↗
Inability to resect a large rhabdomyosarcoma is a biologic determination, not a reflection of surgical skill, and aggressive resection with high morbidity will not improve outcome
opinionAndrea Hayes-Jordan27:44 ↗
Sentinel lymph node biopsy is now required for all trunk and extremity rhabdomyosarcomas
guidelineAndrea Hayes-Jordan29:15 ↗
For rhabdomyosarcoma, completion node dissection is not performed for positive sentinel nodes; radiation therapy is given instead
guidelineAndrea Hayes-Jordan29:31 ↗
Sentinel lymph node mapping for rhabdomyosarcoma should be performed at the time of re-excision if initial excisional biopsy had positive margins
guidelineAndrea Hayes-Jordan30:10 ↗
40-50% of biopsied lymph nodes are positive in rhabdomyosarcoma, and clinically negative nodes may also be positive
epidemiologicalAndrea Hayes-Jordan30:36 ↗
Histologic grade is now critical in non-rhabdo soft tissue sarcomas, not just the diagnosis
guidelineAndrea Hayes-Jordan31:00 ↗
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