Portal de Periódicos da CAPES

Adnexal masses in adolescent girls with pelvic pain: Report on 63 cases

2007; Springer Nature; Volume: 5; Issue: 3 Linguagem: Inglês

10.1007/s10397-007-0358-6

1613-2084

Mehmet Nuri Koçak, Gulay Beydilli, Serdar Dilbaz, Yasemin Taşçı, Alı Haberal,

Endometriosis Research and Treatment

To improve clinical appreciation of these lesions, we reviewed the presentation, evaluation, outcome, and therapeutic aspects of painful adnexal masses in adolescent females. During the period January 2005–September 2006, 63 adolescent females with painful adnexal masses were recruited. The patient management and outcomes were documented. The mean age was 15.36 ± 1.6 years, and the mean diameter of the masses was 54.5 ± 1.3 mm. Forty-nine patients (77.7%) underwent surgical management, and 45 of the 49 surgeries were achieved by laparoscopic surgery (91.8%). Two converting laparotomies (4%) were performed. Fourteen patients with a presumed functional cyst were followed up without surgery. Postoperative histopathologic evaluation revealed a benign epithelial ovarian cyst rate of 26.5%, a mature cystic teratoma rate of 22.4%, and a borderline ovarian tumor rate of 4.08%. Non-neoplastic adnexal lesions were encountered in surgeries of 22 cases. The incidence of acute ovarian torsion and true ovarian neoplasm was 9.52% and 55.1%, respectively, and none was malignant. True ovarian neoplasia remains a common indication for surgery in the majority of adolescents. Because most cases are benign, minimal access surgery should be performed whenever feasible.