Ovarian tumors in adolescent females,an experience at Nishtar Hospital Multan

Objective: to study various presentations,surgical management and histopathological types of ovarian tumors in young girls of 10 to 22 years of age. design: case series descriptive study. setting: departments of obstetrics and gynaecology and oncology,nishtar hospital multan. period: july 2010 to aug 2012. patients and methods: young girls upto 22 years of age presenting with abdominal mass,abdominal pain,menstrual irregularities; with a preoperative diagnosis of ovarian tumor were included. detailed history,examination,usg findings,surgical management and histological types were studied. results: during study period,21 girls with ovarian tumors; 10-22 yrs of age were studied,mean age was 16years.mass abdomen was presenting symptom in 66.7% patients followed by abdominal pain in 23.8%,secondary amenorrhea with hirsuitism in 9.5%. unilateral salpingo-ophorectomy was done in 90.5% pts and debulking surgery in 9.5% cases.85.7% cases were benign and 14.3% were malignant. conclusion: ovarian tumors represent 1.5% of all tumors in childhood and adolescents. benign lesions are very common. main interest is towards timely diagnosis and fertility conserving procedures in young girls.