The analysis of patients who were operated for adnexal mass in the adolescent age group: a single center experience with 104 cases

Purpose: The adolescents age group is important in that the frequency of adnexal masses is lower than the reproductive age group and also the necessity of protecting the subsequent fertility potential. The aim of this study is to summarize the preoperative and postoperative diagnosis, surgical treatment patterns and histopathologic diagnoses of detected and operated adnexal masses in the late adolescent age group. Materials and methods: In this study, we analyzed the records of 104 cases who applied to the Dr. Zekai Tahir Burak Women's Health Research and Educational Hospital Youth Center for pelvic pain and menstrual irregularity between 2014 and 2015 and operated with adnexal mass diagnosed. Patients' ages, complaints of admission, diagnosis for hospitalization, surgical treatment methods and postoperative histopathological diagnosis were analyzed from the records. Results: The mean age of the cases included in the study was 20.8 ± 2.6 and 94.3% (n= 99) of the cases were performed laparoscopically, 4,8% (n= 5) were performed with laparotomy. The most common postoperative diagnosis was dermoid cyst (31.4%; n= 33) followed by functional cyst (21.9%; n= 23) and endometriotic cyst (13.3%; n= 14). The number of malignancy detected according to histopathological analysis of frozen examination and paraffin section was 2 (1.9%). Acute ovarian torsion was found in 3 (2.9%) and tubovarian abscess in 2 (1.9%) cases. Conclusion: In the late adolescent age group, anovulation and related functional masses are less common than in the younger age group. In this age group, In this age group, there are real neoplasms of the ovary like the dermoid cyst in the first place. Since malignancy rates are very low, minimally invasive approach and maximum fertility protection should be aimed at treatment. Pam Med J 2018;11(2):127-130