Abstract
The overwhelming majority of ovarian cysts in pediatric and adolescent girls are physiologic;
however, large simple and complex ovarian lesions often require surgical intervention
due to the increased risk of neoplasia. In this review article, we discuss the preoperative
evaluation and intraoperative management of large ovarian neoplasms. We review the
current literature regarding long term ovarian function and fertility, rates of recurrence
and residual disease, and novel surgical approaches. Managing large ovarian neoplasms
in the pediatric and adolescent population requires careful preoperative and intraoperative
care to optimally resect neoplasia while maximizing fertility and minimizing pain.
Key Words
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Article info
Publication history
Published online: August 12, 2014
Footnotes
No external financial support was received for this project.
The authors indicate no conflicts of interest.
Presented as a workshop at the 27th NASPAG Annual Clinical and Research Meeting. San Diego, CA. April 2013.
Identification
Copyright
© 2016 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.
