Adolescent Ovarian Tumors--The Clinical Analysis Of 62 Cases

[Objective] To study the clinical characteristics of incidence, diagnosis , therapy and complications of adolescent ovarian tumors.[Methods] We conducted a retrospective study of 62 cases aged from 10 to 18 with ovarian tumors in ours hospital between January 1990 and March 1999.[Results] Germ cell tumors occupied 39 cases (62.9%), epithelial tumors 20 cases (32.3%) and sex cord stromal tumors 3 cases (4. 8%) respectively. Abdominalgia, abdominal distention and the mass in the pelvic and lower abdominal cavity were the most common symptoms. The rate of misdiagnosis of adolescent ovarian tumors was 43.5%. The combination of ultrasound and serum tumor marker had the accurate rate of 100% in preoperative estimation that the tumor was benign or malignant. The fertility-sparing therapy was warranted in the benign and early malignant cases. The torsion always resulted in the loss of unilateral ovarian and Fallopian tube. The frozen sectionwas taken in 35.5% of patients, and the accurate rate was 68.1%.[ConclusionsJ We suggest that girls should obtain a complete examination including the pelvic organ who are in 1? years after menarche or 16 years old premenarche; clinical doctors should pay attention to the chief complaint .menses and the symptoms and sign associated with pelvic and abdominal organ, and try to reduce the misdiagnosis and incorrect treatment. The combination of ultrasound and serum CA125 will help to determinate that the tumor is benign or malignant before operation. The accurate rate of frozen section for adolescent teratoma is lower.