Caspian Journal of Internal Medicine

en Types and frequency of ovarian masses in children over a 10-year period Surgery Surgery Original Article Original Article Background: Ovarian masses represent a range of pathology from benign cyst to highly aggressive malignant tumors. It has been estimated that gynecologic malignancy account for approximately 2% of all types of cancer in children, 60-70% of these lesions arise in the ovary. Methods: All ovarian masses which were resected or biopsied in Mofid Children&#39s Hospital from 2002 to 2012 were reviewed retrospectively. Patient’s age, presenting symptoms, surgical procedures, pathological diagnosis, postoperative treatment, and outcome were obtained from medical records. Results: Fifty-seven girls (aged 40.2±57months with the range of 1 day to 15 years) underwent different types of ovarian operations (24 salpingo-oophorectomies, 10 oophorectomies, 21 ovarian cystectomies, and 2 ovarian biopsies). 50 children had unilateral ovarian mass (49.1% right and 38.6 left, respectively). The most common presenting symptoms were acute abdominal pain in 46%.Twenty one (37%) of our patients had ovarian torsion. Four (7%) patients had benign tumors, and 8 (14%) had malignant tumors. There were no age differences between those with benign type (8.2±2.6years) and malignant tumors (6.1±5.3years) (P=0.683). Conclusion: Ovarian tumors are rare in children. Most are benign, in children presenting with acute abdominal pain, ovarian mass particularly neoplastic tumors should be suspected. An important proportion of these patients may require postoperative chemotherapy. Ovarian tumors, Abdominal pain, Children, Postoperative outcome 220 223 http://caspjim.com/browse.php?a_code=A-10-259-1&slc_lang=en&sid=1 Naser Sadeghian dr.nsadeghian@yahoo.com 10031947532846004230 10031947532846004230 No Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Irandokht Sadeghian irandokht.sadeghian@yahoo.com 10031947532846004231 10031947532846004231 No Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Alireza Mirshemirani almirshemirani@gmail.com 10031947532846004232 10031947532846004232 Yes Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Ahmad KhaleghnejadTabari khaleghnejad@gmail.com 10031947532846004233 10031947532846004233 No Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Fatemeh Abdollah Gorji fat_gorji@yahoo.com 10031947532846004234 10031947532846004234 No Clinical Research development Center, Mofid Children's Hospital, Shahid Beheshti University of Medical Sciences, Tehran Iran Fatollah Roushanzamir 10031947532846004235 10031947532846004235 No Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.