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Benign adnexal masses in the adolescent
1Departments of Obstetrics, Gynecology and Women's Health, and Pediatrics, Saint Louis University School of Medicine, Saint Mary's Health Center, Saint Louis, MO 63117, USA. powelljk@slu.edu
Adolescent Medicine Clinics
|January 1, 2005
Summary
Adolescent adnexal masses often resolve spontaneously with watchful waiting. Immediate intervention is reserved for critical conditions like torsion or hemorrhage, while conservative surgery is preferred when needed.
Area of Science:
- Gynecology
- Pediatric Surgery
- Adolescent Medicine
Background:
- Adnexal masses are frequently encountered in adolescent patients.
- Prompt diagnosis and management are crucial for favorable outcomes.
- Distinguishing between emergent and non-emergent conditions is key.
Purpose of the Study:
- To outline the diagnostic and management strategies for adnexal masses in adolescents.
- To emphasize the importance of conservative management and surgical approaches.
- To highlight the recognition of potential complications.
Main Methods:
- Review of clinical presentations and diagnostic criteria for adnexal masses.
- Discussion of indications for immediate intervention versus expectant management.
- Evaluation of surgical options, including laparoscopy and adnexal-sparing techniques.
Main Results:
- Most adnexal masses, particularly cystic ones, resolve spontaneously.
- Emergent conditions requiring intervention include torsion, abscess, hemorrhage, and ectopic pregnancy.
- Conservative surgical approaches are feasible and recommended when appropriate.
Conclusions:
- Expectant management is suitable for many adolescent adnexal masses.
- Surgical intervention should be tailored to the specific condition, prioritizing ovarian preservation.
- Vigilance for postoperative complications is essential for optimal patient care.