Publication:

A hospital based analytical study of ovarian neoplasms among adolescent girls with clinicopathological correlation

Background To study the prevalence of different histopathological types of ovarian tumors and their management, and clinic pathological correlation among girls of age 8-19 years.

Methods A retrospective analytical study conducted among girls of age 8-19 years, diagnosed with ovarian tumour at Sri Chamarajendra Hospital from 2016-2022. Demographic data, age of presentation, size of tumour, histopathological type of tumor, type of surgery performed were analysed and correlation between radiological and histopathological findings were noted.

Results Among 42 girls aged between 8-19 years of age who presented with an ovarian neoplasm, in the study period of 7 years, 57% were the age group of 17-19 years, ovarian cystectomy was done in 17 (44%) patients, unilateral oophorectomy in 16 (41%) and salpingo-oophorectomy in 6 (15%). Histopathology reports showed that majority (88%) of the tumours were benign in nature, of which serous cystadenoma was the most common 14 (33%) and 3 (7%) malignant ovarian neoplasm. Radiological findings showed positive correlation with histopathology in the present study.

Conclusions Ovarian neoplasm in adolescent girls is rare but distressing, diagnosed on high index of suspicion. Early diagnosis and surgery are vital, aiming fertility preservation and female gonad preservation.