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Adolescent ovarian masses: A retrospective analysis
Bindiya Gupta1, Kiran Guleria1, Amita Suneja1
1a Department of Obstetrics and Gynecology , University College of Medical Sciences and Guru Teg Bahadur Hospital , Delhi , India and.
Summary
This study reviewed adolescent ovarian masses, finding that malignancy was more common in younger adolescents, while non-neoplastic masses appeared more in older ones. Ultrasound showed a fair correlation with final diagnoses.
Area of Science:
- Gynecology
- Pediatric Surgery
- Oncology
Background:
- Adolescent ovarian masses require careful evaluation due to diverse etiologies.
- Understanding incidence and characteristics aids in optimizing clinical management.
Purpose of the Study:
- To audit and improve clinical practice for adolescent ovarian masses.
- To analyze incidence, clinical presentation, surgical management, and histology.
Main Methods:
- Retrospective analysis of hospital records for adolescents (10-20 years) undergoing surgery for ovarian masses (2006-2014).
- Parameters included age, clinical features, diagnosis, operative procedures, and histopathology.
Main Results:
- 94 patients: 37 non-neoplastic, 30 benign neoplasms, 27 malignant tumors.
- Common presentations: abdominal pain (54%) and mass (41%).
- Dermoid cysts were most common benign; germ cell tumors (dysgerminoma 68%) most common malignant. Malignancy in early adolescence (12±4.8 yrs), non-neoplastic in late (17.7±2.2 yrs).
- Ultrasound showed fair correlation with histopathology.
Conclusions:
- Ovarian mass characteristics vary with age in adolescents.
- Improved diagnostic accuracy and timely surgical intervention are crucial.
- Further research can refine management protocols for adolescent ovarian masses.
