title: Adnexal masses in children and adolescents.
abstract: Adnexal masses in children encompass a variety of lesions of the ovaries and fallopian tubes, including ovarian cysts and tumors (benign or malignant), fallopian tube cysts and abscesses, paratubal cysts, and endometriomas. When developing a differential diagnosis for adnexal masses in childhood, the clinician must have a broad understanding of adnexal pathology and consider the patient's age, presenting complaints, physical examination findings, and imaging results to generate a list of possible diagnoses and the appropriate treatment plan. We review the clinical presentation of these lesions and discuss the current recommendations for their management.
authors.affiliation: Department of Pediatric Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
authors.forename: Cassandra M
authors.initials: CM
authors.lastname: Kelleher
authors.forename: Allan M
authors.initials: AM
authors.lastname: Goldstein
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000628:therapy; D000291:Adnexal Diseases / Q000175:diagnosis* / Q000628:therapy; D000293:Adolescent; D002648:Child; D003560:Cysts / Q000175:diagnosis / Q000628:therapy; D004715:Endometriosis / Q000175:diagnosis / Q000628:therapy; D005184:Fallopian Tube Diseases / Q000175:diagnosis / Q000628:therapy; D005260:Female; D018238:Gonadoblastoma / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D009373:Neoplasms, Germ Cell and Embryonal / Q000175:diagnosis / Q000628:therapy; D010048:Ovarian Cysts / Q000175:diagnosis / Q000628:therapy; D010051:Ovarian Neoplasms / Q000175:diagnosis / Q000628:therapy; D013724:Teratoma / Q000175:diagnosis / Q000628:therapy; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography