{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T11:25:15Z","timestamp":1786965915332,"version":"build-2736575974"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Surg Int"],"DOI":"10.1007\/s00383-026-06582-5","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T10:42:58Z","timestamp":1786963378000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Challenging the size: ovarian-sparing surgery in borderline huge pediatric ovarian tumors"],"prefix":"10.1007","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6346-1259","authenticated-orcid":false,"given":"Aurora","family":"Mariani","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Venusia","family":"Fiorenza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fr\u00e9d\u00e9ric","family":"Hameury","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeanne","family":"Goulin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fr\u00e9d\u00e9rique","family":"Dijoud","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Gorduza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"6582_CR1","first-page":"422e","volume-title":"Clinical Pediatric and Adolescent Gynecology","author":"L Allen","year":"2008","unstructured":"Allen L, Fleming N, Strickland J (2008) Adnexal masses in the neonate, child, and adolescent. In: Sanfillipo J, Lara-Torre E, Edmonds DK (eds) Clinical Pediatric and Adolescent Gynecology. Informa Healthcare, New York, pp 422e\u20134428"},{"key":"6582_CR2","doi-asserted-by":"publisher","first-page":"282","DOI":"10.1016\/j.jpag.2011.03.012","volume":"24","author":"RN Eskander","year":"2011","unstructured":"Eskander RN, Bristow RE, Saenz NC et al (2011) A retrospective review of the effect of surgeon specialty on the management of 190 benign and malignant pediatric and adolescent adnexal masses. J Pediatr Adolesc Gynecol 24:282","journal-title":"J Pediatr Adolesc Gynecol"},{"issue":"1","key":"6582_CR3","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1148\/radiol.2019191150","volume":"294","author":"RF Andreotti","year":"2020","unstructured":"Andreotti RF, Timmerman D, Strachowski LM et al (2020) O-RADS US Risk Stratification and Management System: A Consensus Guideline from the ACR Ovarian-Adnexal Reporting and Data System Committee. Radiology 294(1):168\u2013185","journal-title":"Radiology"},{"issue":"5","key":"6582_CR4","first-page":"294","volume":"117","author":"SC User I\u02d9R, Karakus\u00b8","year":"2019","unstructured":"User I\u02d9R, Karakus\u00b8 SC, \u00d6zokutan BH, Ak\u00e7aer V, Burulday B, Ceylana H (2019) Can preoperative findings help to interpret neoplastic and non-neoplastic lesions of ovary and affect surgical decisions in children and adolescents. Arch Argent Pediatr 117(5):294\u2013400","journal-title":"Arch Argent Pediatr"},{"issue":"3","key":"6582_CR5","doi-asserted-by":"publisher","first-page":"125","DOI":"10.1016\/j.jpag.2013.09.003","volume":"27","author":"EM Rogers","year":"2014","unstructured":"Rogers EM, Casadiego Cubides G, Lacy J, Gerstle JT, Kives S, Allen L (2014) Preoperative risk stratification of adnexal masses: can we predict the optimal surgical management? J Pediatr Adolesc Gynecol 27(3):125\u20138","journal-title":"J Pediatr Adolesc Gynecol"},{"issue":"4","key":"6582_CR6","first-page":"743","volume":"16","author":"P Mitragkas","year":"2021","unstructured":"Mitragkas P, Synekidou E, Hatzimisios K (2021) Giant Ovarian Mucinous Borderline Tumors. A Report of Two Cases and Literature Review. Maedica (Bucur) 16(4):743\u2013746","journal-title":"Maedica (Bucur)"},{"issue":"3","key":"6582_CR7","doi-asserted-by":"publisher","DOI":"10.4081\/pr.2018.7752","volume":"10","author":"G Persano","year":"2018","unstructured":"Persano G, Severi E, Cantone N, Incerti F, Ciardini E, Noccioli B (2018) Surgical approach to giant ovarian masses in adolescents: technical considerations. Pediatr Rep 10(3):7752","journal-title":"Pediatr Rep"},{"issue":"3","key":"6582_CR8","doi-asserted-by":"publisher","first-page":"e73","DOI":"10.1016\/j.jpag.2013.07.007","volume":"27","author":"M Zhang","year":"2014","unstructured":"Zhang M, Jiang W, Li G, Xu C (2014) Ovarian masses in children and adolescents - an analysis of 521 clinical cases. J Pediatr Adolesc Gynecol 27(3):e73\u2013e77","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"6582_CR9","doi-asserted-by":"publisher","first-page":"130","DOI":"10.1016\/j.jpedsurg.2009.10.022","volume":"45","author":"SC Oltmann","year":"2010","unstructured":"Oltmann SC, Garcia N, Barber R, Huang R, Hicks B, Fischer A (2010) Can we preoperatively risk stratify ovarian masses for malignancy? J Pediatr Surg 45:130\u2013134","journal-title":"J Pediatr Surg"},{"issue":"1","key":"6582_CR10","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1002\/uog.7625","volume":"36","author":"C Van Holsbeke","year":"2010","unstructured":"Van Holsbeke C, Van Belle V, Leone FP, Guerriero S, Paladini D, Melis GB, Greggi S, Fischerova D, De Jonge E, Neven P, Bourne T, Valentin L, Van Huffel S, Timmerman D (2010) Prospective external validation of the \u2018ovarian crescent sign\u2019 as a single ultrasound parameter to distinguish between benign and malignant adnexal pathology. Ultrasound Obstet Gynecol 36(1):81\u201387","journal-title":"Ultrasound Obstet Gynecol"},{"issue":"1","key":"6582_CR11","doi-asserted-by":"publisher","first-page":"144","DOI":"10.1016\/j.jpedsurg.2013.09.068","volume":"49","author":"JC Papic","year":"2014","unstructured":"Papic JC, Finnell SM, Slaven JE et al (2014) Predictors of ovarian malignancy in children: overcoming clinical barriers of ovarian preservation. J Pediatr Surg 49(1):144\u2013147","journal-title":"J Pediatr Surg"},{"key":"6582_CR12","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1053\/j.sempedsurg.2005.01.006","volume":"14","author":"A Hayes-Jordan","year":"2005","unstructured":"Hayes-Jordan A (2005) Surgical management of the incidentally identified ovarian mass. Sem Pediatr Surg 14:106\u2013110","journal-title":"Sem Pediatr Surg"},{"key":"6582_CR13","doi-asserted-by":"publisher","first-page":"411","DOI":"10.1016\/j.jadohealth.2005.12.022","volume":"39","author":"RE Bristow","year":"2006","unstructured":"Bristow RE, Nugent AC, Zahurak ML et al (2006) Impact of surgeon specialty on ovarian-conserving surgery in young females with an adnexal mass. J Adolesc Health 39:411\u2013416","journal-title":"J Adolesc Health"},{"issue":"13","key":"6582_CR14","doi-asserted-by":"publisher","first-page":"1247","DOI":"10.1001\/jama.2023.17183","volume":"330","author":"PC Minneci","year":"2023","unstructured":"Minneci PC, Bergus KC, Lutz C, Midwest Pediatric Surgery Consortium et al (2023) Reducing unnecessary oophorectomies for benign ovarian neoplasms in pediatric patients. JAMA 330(13):1247\u20131254","journal-title":"Jama"},{"issue":"11","key":"6582_CR15","doi-asserted-by":"publisher","first-page":"1933","DOI":"10.1016\/j.jpedsurg.2015.06.020","volume":"50","author":"PI Abbas","year":"2015","unstructured":"Abbas PI, Elder SC, Mehollin-Ray AR et al (2015) Ovarian lesion volumes as a screening tool for malignancy in adolescent ovarian tumors. J Pediatr Surg 50(11):1933\u20131936","journal-title":"J Pediatr Surg"},{"issue":"2","key":"6582_CR16","doi-asserted-by":"publisher","first-page":"313","DOI":"10.24953\/turkjpediatr.2026.7681","volume":"68","author":"\u00d6 Balc\u0131","year":"2026","unstructured":"Balc\u0131 \u00d6, Karaman \u0130, Ya\u011f\u0131z B et al (2026) Evolution toward ovarian-sparing surgery in pediatric ovarian tumors: a 20-year single-center experience. Turk J Pediatr 68(2):313\u2013323","journal-title":"Turk J Pediatr"},{"key":"6582_CR17","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1007\/s40944-015-0017-1","volume":"13","author":"S Manjiri","year":"2015","unstructured":"Manjiri S, Padmalatha SK, Shetty J et al (2015) Prospective Observational Study of Ovarian Tumors Among Children in Tertiary Care Indian Teaching Hospital. Indian J Gynecol Oncolog 13:14","journal-title":"Indian J Gynecol Oncolog"},{"issue":"1","key":"6582_CR18","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1186\/s13048-024-01409-0","volume":"17","author":"J Zhao","year":"2024","unstructured":"Zhao J, Wang D, Wang R et al (2024) Fertility-sparing surgery in children and adolescents with borderline ovarian tumors: a retrospective study. J Ovarian Res 17(1):96","journal-title":"J Ovarian Res"},{"key":"6582_CR19","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1186\/s13048-018-0448-2","volume":"11","author":"\u0141uczak","year":"2018","unstructured":"\u0141uczak (2018) Bag\u0142aj Ovarian teratoma in children: a plea for collaborative clinical study. J Ovarian Res 11:75. https:\/\/doi.org\/10.1186\/s13048-018-0448-2","journal-title":"J Ovarian Res"},{"key":"6582_CR20","doi-asserted-by":"publisher","first-page":"1913","DOI":"10.1016\/j.jpedsurg.2019.05.005","volume":"54","author":"JA How","year":"2019","unstructured":"How JA, Marino JL, Grover SR (2019) Surgically managed ovarian masses at the Royal Children\u2019s Hospital, Melbourne \u2212\u200919 year experience. J Pediatr Surg 54:1913\u20131920","journal-title":"J Pediatr Surg"},{"key":"6582_CR21","doi-asserted-by":"publisher","first-page":"2669","DOI":"10.1093\/humrep\/15.12.2669","volume":"15","author":"CL Templeman","year":"2000","unstructured":"Templeman CL, Hertweck SP, Scheetz JP, Perlman SE, Fallat ME (2000) The management of mature cystic teratomas in children and adolescents: a retrospective analysis. Hum Reprod 15:2669\u201372","journal-title":"Hum Reprod"},{"key":"6582_CR22","doi-asserted-by":"publisher","first-page":"495e","DOI":"10.1016\/j.jpag.2017.02.001","volume":"30","author":"RA Cowan","year":"2017","unstructured":"Cowan RA, Haber BSEN, Faucz FR (2017) Mucinous Cystadenoma in Children and Adolescents. J Pediatr Adolesc Gynecol 30:495e\u2013498","journal-title":"J Pediatr Adolesc Gynecol"},{"issue":"2","key":"6582_CR23","doi-asserted-by":"publisher","first-page":"92","DOI":"10.4103\/jiaps.JIAPS_246_17","volume":"24","author":"M Raicevic","year":"2019","unstructured":"Raicevic M, Saxena AK (2019) Review of laparoscopic management of mature cystic teratoma of ovaries in children. J Indian Assoc Pediatr Surg 24(2):92\u201396","journal-title":"J Indian Assoc Pediatr Surg"},{"key":"6582_CR24","doi-asserted-by":"publisher","first-page":"1766","DOI":"10.1245\/s10434-012-2249-y","volume":"19","author":"C Spinelli","year":"2012","unstructured":"Spinelli C, Pucci V, Buti I (2012) The Role of Tumor Markers in the Surgical Approach of Ovarian Masses in Pediatric Age: A 10-Year Study and a Literature Review. Ann Surg Oncol 19:1766\u20131773","journal-title":"Ann Surg Oncol"},{"issue":"6","key":"6582_CR25","doi-asserted-by":"publisher","DOI":"10.1016\/j.disamonth.2024.101691","volume":"70","author":"B Ergun-Longmire","year":"2024","unstructured":"Ergun-Longmire B, Greydanus DE (2024) Ovarian tumors in the pediatric population: an update. Dis Mon 70(6):101691","journal-title":"Dis Mon"},{"issue":"6","key":"6582_CR26","first-page":"597","volume":"27","author":"Z Stankovic","year":"2006","unstructured":"Stankovic Z, Djuricic S, Djukic M, Jovanovic D, Vasiljevic M (2006) Epithelial ovarian tumors and Ca-125 in premenarchal girls. Eur J Gynaecol Oncol 27(6):597\u2013599","journal-title":"Eur J Gynaecol Oncol"},{"key":"6582_CR27","doi-asserted-by":"publisher","first-page":"839","DOI":"10.1016\/j.jss.2025.09.084","volume":"315","author":"AM Lin","year":"2025","unstructured":"Lin AM, Bergus KC, Bricker J, Midwest Pediatric Surgery Consortium et al (2025) Use of ovarian tumor markers in prediction of malignancy risk in pediatric and adolescent patients. J Surg Res 315:839\u2013846","journal-title":"J Surg Res"},{"key":"6582_CR28","doi-asserted-by":"publisher","first-page":"543","DOI":"10.1016\/j.jpedsurg.2013.09.019","volume":"49","author":"S Taskinen","year":"2014","unstructured":"Taskinen S, Urtane A, Fagerholm R et al (2014) Metachronous benign ovarian tumors are not uncommon in children. J Pediatr Surg 49:543\u2013545","journal-title":"J Pediatr Surg"},{"key":"6582_CR29","doi-asserted-by":"publisher","first-page":"222","DOI":"10.1016\/j.jpag.2013.11.006","volume":"27","author":"EM Rogers","year":"2014","unstructured":"Rogers EM, Allen L, Kives S (2014) The recurrence rate of ovarian dermoid cysts in pediatric and adolescent girls. J Pediatr Adolesc Gynecol 27:222\u2013226","journal-title":"J Pediatr Adolesc Gynecol"}],"container-title":["Pediatric Surgery International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00383-026-06582-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00383-026-06582-5","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00383-026-06582-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T10:42:59Z","timestamp":1786963379000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00383-026-06582-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,17]]},"references-count":29,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["6582"],"URL":"https:\/\/doi.org\/10.1007\/s00383-026-06582-5","relation":{},"ISSN":["1437-9813"],"issn-type":[{"value":"1437-9813","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,17]]},"assertion":[{"value":"19 May 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 August 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 August 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors have no conflicts of interest relevant to this article.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"344"}}