Ovarian tumors in children and adolescents: A review of 52 cases.

ABSTRACT

This retrospective study reports on 52 cases of ovarian tumors in young females (under 20 years) treated at Siriraj Hospital over a five-year period from 1988 to 1992. The incidence was 4.7 percent of all ovarian tumors (1,103 cases). Of the total, 41 cases were benign, 10 were malignant and one was a borderlined tumor. In 31 cases (59.6 percent) germ cell tumors were found, of which 19.4 percent were malignant. The common presenting symptom was either abdominal mass (53.9 percent) or abdominal pain (26.9 percent). The tumors, which developed in more than half of the patients (57.7 percent), were between 6 and 15 cm in greatest diameter. Bilaterality was found in five patients (9.6 percent) and six (11.5 percent) and torsion of the tumor. Surgical treatment was conservative in 86.5 percent and radical in 13.5 percent of the patients.