Adnexial Mass in the Adolescents Evrim ERDEMOĞLU, İlker GÜNYELİ, Mansur KAMACI, Tamer MUNGAN Van, Turkey OBJECTIVE: is to investigate features of adnexial masses required emergency or elective operations in the adolescents. We analyzed the features, presentation of adnexial masses and their management in young adolescent women in a referral hospital. STUDY DESIGN: We have retrospectively analyzed patients admitted to two different department of Obstetrics and Gynecology between 2005- 2006 and 2009-2010. Patients included to study were at or under the age of twenty and had gynecological operation for adnexial mass. RESULTS: Thirty two of 879 (3.6%) gynecological procedures were in adolescents under the age of twenty. Adnexial masses were the leading cause of these gynecological procedures compromising 81.2% (n=26) of adolescents’ gynecological procedures. Fifty percent of operations (n=13) were in the emergency setting. Laparotomy to laparoscopy ratio was 2.2. Operations for a benign pathology consisted of 84%. Sixteen percent of all cases and 19% of ovarian masses were malignant. Use of ultrasonography and laboratory examination correctly led to diagnosis of benign cases. CONCLUSION: In adolescents laparoscopy and conservative surgery are choice of operation and every effort should be undertaken to perform them. Preoperative evaluation of adnexial mass in the adolescents could be made correctly. Key Words: Adnexial mass, Adolescents, Laparoscopy, Laparotomy
Adnexial Mass in the Adolescents Evrim ERDEMOĞLU, İlker GÜNYELİ, Mansur KAMACI, Tamer MUNGAN Van, Turkey
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