Figure 13-11 Management of pelvic masses in premenarchal
and adolescent girls
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Prepubertal Age Group - Diagnosis and Management
Close observation recommended (discuss risk of ovarian torsion with
the child's parents.)
Recurrence rates after cyst aspiration - 50%.
Attention: long-term e ects on endocrine functioning, future fertility,
preservation of ovarian tissue
Premature surgical therapy - ovarian and tubal adhesions that can
a ect future fertility.
Close observation is recommended, although there is a risk of ovarian
torsion that must be discussed with the child's parents.
Recurrence rates after cyst aspiration (either ultrasonographically
guided or with laparoscopy) may be as high as 50%.
Attention must be paid to long-term e ects on endocrine functioning
as well as future fertility; preservation of ovarian tissue is a priority for
patients with benign tumors.
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Premature surgical therapy for a functional ovarian mass can result in
ovarian and tubal adhesions that can a ect future fertility.
10
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