Ovarian tumors under 20 years of age

ABSTRACT

To analyze the cases of Ovarian Tumors in less than 20 years of age and to know its outcome in same patients. A Case Series Descriptive Study. This study was conducted at Sheikh Zaid Women Hospital, Gynaecology Unit II, Chandka medical college Larkana over the of period of two years from December 2007 to December 2009. Over the period of 2 years, a total of 30 patients with ovarian tumors of less than 20 years age were studied. Patients with more than 20 years of age were excluded. All the patients received as out patient department except 4 cases, were admitted through emergency. Detailed history taken to know their presentation and all the patients were investigated for complete blood picture, ESR, Random Blood Sugar, Urine detailed report, Urea, Creatinine, Serum Electrolyte, LFTs, Ultrasound and X.Ray Chest. In some patients IVP, CT scan and Serological markers e.g. CA-125 were done. Management done in all patients noted and statistically analyzed. In two years period 30 patients under 20 years of age reported. Mean age of presentation was 15 +/- 2 years. Out of 30 patients 25 [83.33%] had benign ovarian tumors while 5 patients only [16.66%] had malignant tumors. Of the benign ovarian tumors mature teratoma were 10[40%], serous cyst adenoma were 5[20%], mucinous cyst adenoma were 3 [12%], endometriotric cysts were 3 [12%], corpus luteal cysts were 3 [12%], para-ovarian cyst was 1 [4%]. Of the malignant variants immature teratoma was 3 [60%], dysgerminoma was 1 [20%] and endodermal sinus tumor was 1 [20%]. Most of patients had benign ovarian tumors e-g germ cell tumors. Almost in all of the patient's diagnosis was confirmed by laparotomy and histopathology. No complication was encountered ttendance ly and post operatively. Patients, less then 20 years of age, had mainly benign ovarian tumors, and were germ cell tumors. For benign tumors adhesion prevention strategies should be used. Surgical intervention should as much as possible be directed towards preservation of ovarian tissue