Adnexal masses in children and adolescents

Clin Obstet Gynecol. 2015 Mar;58(1):76-92. doi: 10.1097/GRF.0000000000000084.

Abstract

Adnexal masses in children encompass a variety of lesions of the ovaries and fallopian tubes, including ovarian cysts and tumors (benign or malignant), fallopian tube cysts and abscesses, paratubal cysts, and endometriomas. When developing a differential diagnosis for adnexal masses in childhood, the clinician must have a broad understanding of adnexal pathology and consider the patient's age, presenting complaints, physical examination findings, and imaging results to generate a list of possible diagnoses and the appropriate treatment plan. We review the clinical presentation of these lesions and discuss the current recommendations for their management.

Publication types

  • Review

MeSH terms

  • Abscess / diagnosis
  • Abscess / therapy
  • Adnexal Diseases / diagnosis*
  • Adnexal Diseases / therapy
  • Adolescent
  • Child
  • Cysts / diagnosis
  • Cysts / therapy
  • Endometriosis / diagnosis
  • Endometriosis / therapy
  • Fallopian Tube Diseases / diagnosis
  • Fallopian Tube Diseases / therapy
  • Female
  • Gonadoblastoma / diagnosis
  • Gonadoblastoma / therapy
  • Humans
  • Magnetic Resonance Imaging
  • Neoplasms, Germ Cell and Embryonal / diagnosis
  • Neoplasms, Germ Cell and Embryonal / therapy
  • Ovarian Cysts / diagnosis
  • Ovarian Cysts / therapy
  • Ovarian Neoplasms / diagnosis
  • Ovarian Neoplasms / therapy
  • Teratoma / diagnosis
  • Teratoma / therapy
  • Tomography, X-Ray Computed
  • Ultrasonography

Supplementary concepts

  • Teratoma, Ovarian