TITLE:
Evaluation of ovarian cysts in adolescents
AUTHORS:
Jessica R. Zolton, Priya B. Maseelall
KEYWORDS:
Adolescent; Ovarian Cyst; Laparoscopy; Ovarian Torsion; Ultrasonography
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.3 No.7A,
September
16,
2013
ABSTRACT:
The presentation of an adnexal mass in an adolescent
is a concerning event for the patient and the family. Patients are most likely
to present with abdominal pain or a palpable mass. The diagnostic imaging of choice
is pelvic ultrasonography. The majority of these lesions are benign ovarian
cysts. These cysts should be followed with ultrasound, as many will
spontaneously regress. Further evaluation with laboratory tests may also be
warranted, which will aid in diagnosis and treatment. Ovarian cysts that are
failed to resolve, severely symptomatic, or concerned with malignancy
require surgical intervention. Laparoscopy has shown to be beneficial in the
adolescent population and should be the procedure of choice. In addition,
ovarian conservation is the ideal treatment in order to continue normal
pubertal development and preserve reproductive health.