Ovarian tumors

Abstract

The incidence of ovarian tumors in girls is low at 2.6/100,000 girls per year, and most tumors are benign. The clinical presentation is variable, and many girls do not present until the tumor is large enough to cause torsion or it ruptures, leaks, and/or bleeds. A careful workup before operation can aid with identifying the patient for an ovarian-sparing procedure, which should also be the principle in an emergency. Staging a procedure is a sound way to manage a patient in whom doubt exists as to the exact etiology. Patient age, tumor size, tumor markers, histology, and local spread or metastasis all have bearing on what should be done during surgery, follow-up, and prognosis.