ABSTRACT
Objective: To discuss the medical, social and legal characteristics of the child sexual abuse and to provide a perspective for gynecologists on this topic
Methods: A retrospective analysis was carried out of the medicolegal records of female children below the age of 18 referred to a tertiary teaching hospital and diagnosed as being exposed to sexual abuse within the family between the years of 2004 to 2012
Results: One hundred and thirty-nine cases were diagnosed as being exposed to sexual abuse during the 8 year period, 23 of them [16.5%] had been involved in sexual abuse within the family. Eleven out of 23 had been admitted as part of a legal process while the rest were reported by a third person
Conclusion: Since sexual abuse within the family is a taboo in Islamic societies, the diagnosis can take a long time. Recognition of sexually abused children, providing early performance of medicolegal examinations, and applying standardized medical guidelines are essential to protect these children
ABSTRACT
Hemangiomas are benign and rare tumors of female genital tract and most of which are asymptomatic. A 55-year-old woman was referred to our department due to postmenopausal bleeding with 3 cm diameter adnexial mass. Transvaginal sonography revealed a 3-cm right ovarian semicystic mass with a low-resistant vascular flow pattern in the Doppler examination, supporting malignant neoplasia of the ovary. Serum Ca-125 levels of the patient were inconclusive. The pathology result of the mass was primary ovarian hemangioma, a benign vascular tumor after the surgery. Primary ovarian hemangiomas are extremely rare conditions. Some of the ovarian hemangiomas are presented as an ovarian mass with ascites and serum Ca-125 elevation, mimicking advanced stage ovarian cancer. Frozen sections may not always give a definitive histologic behavior of the mass. Thus, unnecessary radical surgery may be performed for benign ovarian vascular neoplasm