Ovarian Masses in Adolescent Girls - Conclusion

Key points
- The detection of adnexal masses is common and the vast majority is benign.
- These benign masses are predominantly functional ovarian cysts, most of which resolve spontaneously.
- Ultrasonography is the preferred first-line diagnostic tool.
- When surgery is necessary, it is necessary to keep in mind the importance of preserving subsequent fertility whenever possible.
The detection of adnexal masses is common and the vast majority is benign. These benign masses are predominantly functional ovarian cysts, most of which resolve spontaneously. Ultrasonography is the preferred first-line diagnostic tool. When surgery is necessary, it is necessary to keep in mind the importance of preserving subsequent fertility whenever possible.
References
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- Nor ris HG, Jensen RD: Relative frequency of ovarian neoplasms in children and adolescents. Cancer 1972;30:713 - 719.
- Pfeifer SM, Gosman GG: Evaluation of adnexal masses in adolescents. Pediatr Clin North Am 1999;46:573 - 592.
- Elhage A, Nanejian V, Ghossain M, Germanos A: Kystes de l'ovaire: valeurs des explorations paracliniques. Ref Gynecol Obstet 2000;7:133 - 137.
- Audebert A: Kystes annexiels: les limites techniques du traitement coelioscopique. A propos d'une série de 1,154 kystes. Ref Gynecol Obstet 1999;6:347 - 351.
- Scully RE: Ovarian tumors. A review. Am J Pathol 1977;87:686 - 720.
- Serov SF, Scully RE, Sobin LH: Histological Typing of Ovarian Tumours. International Histological Classification of Tumours, No 9. Geneva, WHO, 1973, pp 37 - 55.
- Berta P, Hawkins JR, Sinclair AH, Taylor A, Griffiths BL, Goodfellow PN, Fellous M: Genetic evidence equating SRY and the testis-determining factor. Nature 1990;348:448 - 450.
- Ardaens Y, Guerin B, Coquel P: Echographie en pratique gynécologique. Paris, Masson, 1994.
- Adamsbaum C, Carel JC, Panisset S, Kalifa G: Pathologie de la puberté chez la fille. Stratégies diagnostiques. Feuillets Radiol 1999;39:284 - 292.
Full List
Written and revised by
Gerald Hurowitz, M.D.
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