title: The role of ultrasound in the management of ovarian masses in children.
abstract: A retrospective study of 64 girls with ovarian cysts and tumours, diagnosed by ultrasound over 4 years, was undertaken. Most ovarian cysts were benign and conservative management with serial ultrasound scans helped to avoid unnecessary surgery. The incidence of surgery decreased from 18 operations in the first 2 years of the study to 10 operations in the second 2 years. All children for whom surgery is considered should have a pre-operative scan to determine whether the cyst has resolved. Immediate surgery is indicated in children who have a palpable mass, a solid mass, a mass associated with calcification, or a mass associated with persistent pyrexia. Appendix abscesses may mimic ovarian masses and can be correctly diagnosed by ultrasound.
authors.affiliation: Royal Liverpool Children's Hospital, UK.
authors.forename: C R
authors.initials: CR
authors.lastname: Thind
authors.forename: H M
authors.initials: HM
authors.lastname: Carty
authors.forename: D W
authors.initials: DW
authors.lastname: Pilling
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D010048:Ovarian Cysts / Q000175:diagnosis* / Q000601:surgery; D010051:Ovarian Neoplasms / Q000175:diagnosis* / Q000601:surgery; D012189:Retrospective Studies; D014463:Ultrasonography