Adnexial Mass in the Adolescents

摘要

OBJECTIVE: is to investigate features of adnexial masses required emergency or elective operations?in the adolescents. We analyzed the features, presentation of adnexial masses and their management?in young adolescent women in a referral hospital. STUDY DESIGN: We have retrospectively analyzed patients admitted to two different department of?Obstetrics and Gynecology between 2005- 2006 and 2009-2010. Patients included to study were at or?under the age of twenty and had gynecological operation for adnexial mass. RESULTS: Thirty two of 879 (3.6%) gynecological procedures were in adolescents under the age of?twenty. Adnexial masses were the leading cause of these gynecological procedures compromising?81.2% (n=26) of adolescents’ gynecological procedures. Fifty percent of operations (n=13) were in the?emergency setting. Laparotomy to laparoscopy ratio was 2.2. Operations for a benign pathology consisted?of 84%. Sixteen percent of all cases and 19% of ovarian masses were malignant. Use of ultrasonography?and laboratory examination correctly led to diagnosis of benign cases. CONCLUSION: In adolescents laparoscopy and conservative surgery are choice of operation and every?effort should be undertaken to perform them. Preoperative evaluation of adnexial mass in the adolescents?could be made correctly.