OVARIAN MASSES IN PAEDIATRIC POPULATION- A SINGLE CENTER EXPERIENCE

Abstract

INTRODUCTION-Adnexal abnormalities in pediatric patients are uncommon but not rare. Diagnosis may be more difcult, even delayed or missed, because of low index of suspicion; nonspecic complaints; or consideration of more common, acute abdominal processes that mimic adnexal issues. This article will review the features of adnexal lesions, including neoplasms, benign masses with or without vascular compromise. AIM -To evaluate clinical presentation, histopathology and management and outcome of ovarian masses in paediatric population. METHODS - An observational retrospective study in which patients with ovarian mass below 12 years of age were studied in Department of Paediatric Surgery, NRS Medical College Kolkata, between June 2017 to June 2020. RESULTS- Most of the patients belonged to above 5 years of age (n=10) few patients were found in the group less than 1year (n=3). Median age at presentation 5years. The most common symptoms at presentation was abdominal mass (68%). Majority of the patients belong to low socioeconomic status of the patients that is grade IVof Kuppuswamy classication. Malignant lesions constituted 64% of the study population and benign lesions constituted of 36%. CONCLUSION- In conclusion ovarian tumors are rare in children. Abdominal pain was the most common complaint. Benign masses consist of ovarian cyst and twisted ovarian cyst. Germ cell tumors are the most common ovarian malignancy in children