ABSTRACT

Objective:

The risk of adnexal mass is less in adolescents than in reproductive age women and those patients are important regarding fertility preservation. The aim of this study was to retrospectively evaluate adoles-cents operated for adnexal masses in our clinic in a 7 year period retrospectively.

Material and Methods:

All patients operated for adnexal mass in Ankara University School of Medicine De-partment of Obstetrics and Gynecology between 2006 and 2012 were included in this retrospective cohort study. Data including age, presenting symptom, surgical method, pathologic diagnosis, and tumor markers are recorded.

Results:

Mean age of the patients was 17.8±2.5 years. The most common symptoms and signs of the patients were abdominal pain (57.6%), abdominal swelling (10.2%) ve menstral irregularities (10.2%). The sensitivity, specificity, positive predictive value and negative predictive value of preoperative evalutation with physical examination, imaging and tumor markers for malignancy were 83.3%, 92.5%, 55.5%, and 98% respectively. According to pathologic examination 40 (67.8%) patients had non-neoplastic and 19 (32.2%) patients had neolastic masses. Among neoplastic adnexal masses 5 (8.5%) were mature teratoma and 7 (11.8%) were cys-tadenoma. One (1.7%) patient had borderline serous tumor and 6 (10.2%) had germ cell tumors.

Conclusion:

Functional ovarian cysts are common in adolescents. Ultrasonography findings and tumor mark-ers are important in differential diagnosis of complex cysts. Less invasive surgical methods and fertility pre-serving procedures should be preferred in the management of adolescent adnexal masses.