Diagnostic work-up in paediatric and adolescent patients with adnexal masses: an evidence-based approach

J Obstet Gynaecol. 2021 May;41(4):503-515. doi: 10.1080/01443615.2020.1755625. Epub 2020 Jul 14.

Abstract

Adnexal masses are rare in the young female population. The differential diagnosis includes ovarian masses, tubal/paratubal masses, masses related to the gastrointestinal tract (colon), infectious lesions, or pregnancy. Acute abdominal pain, and less commonly, precocious puberty or vaginal bleeding, are typical symptoms in these cases. The majority of adnexal masses in the paediatric and adolescent population are benign; however, a thorough preoperative assessment is essential to guide surgical intervention and optimise patient outcomes. The proper diagnosis of an adnexal mass, correct management (surgical or nonsurgical), and necessary referrals are of paramount importance. In the light of these cornerstones, this review describes the aetiologies, presenting symptoms, and appropriate diagnostic work-up for paediatric and adolescent patients affected by adnexal masses.

Keywords: Adnexal mass; adolescent; scoring systems; tumour markers; ultrasound examination.

Publication types

  • Review

MeSH terms

  • Abdominal Pain / diagnosis*
  • Abdominal Pain / etiology
  • Adnexal Diseases / complications
  • Adnexal Diseases / diagnosis*
  • Adolescent
  • Child
  • Diagnosis, Differential
  • Female
  • Gynecology / methods*
  • Humans
  • Pediatrics / methods*