Surgical management of adnexal masses in adolescent females at a tertiary centre in India: a case series

Meenakshi Thakur; Deepti Rana; Meenakshi Verma

doi:10.18203/2320-1770.ijrcog20252347

Authors

Meenakshi Thakur Department of Obstetrics and Gynaecology, Dr. Rajendra Prasad Government Medical College, Tanda at Kangra, Himachal Pradesh, India
Deepti Rana Department of Obstetrics and Gynaecology, Dr. Rajendra Prasad Government Medical College, Tanda at Kangra, Himachal Pradesh, India
Meenakshi Verma Department of Obstetrics and Gynaecology, Dr. Rajendra Prasad Government Medical College, Tanda at Kangra, Himachal Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20252347

Keywords:

Adnexal masses, Adolescents, , Mature cystic teratoma, Laparotomy, Case series, Fertility preservation

Abstract

This case series details 15 adolescent females (aged 13–19 years) who underwent surgery for adnexal masses from January 2022 to January 2025. The most common presenting complaint was abdominal pain (80%). Imaging with ultrasound and MRI showed large complex cystic masses (>10 cm) in 66.7% of patients. Laparotomy was performed in 12 patients (80%) due to large size and limited resources, while laparoscopy was feasible in 3 cases (20%). Histopathology revealed benign lesions in all cases: mature cystic teratoma (66.7%), serous cystadenoma (20%), and functional cyst (13.3%). Mild elevations in CA-125 and LDH were noted in some patients, but no malignancy was identified. Ovarian preservation was achieved in 60% of cases. All patients recovered uneventfully, with no complications or recurrences at six-month follow-up. These findings support the benign nature of adolescent adnexal masses and emphasize individualized surgical management with fertility preservation.

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References

Valentin L. Use of morphology in managing adnexal masses. Best Pract Res Clin Obstet Gynaecol. 2004;18(1):71–89. DOI: https://doi.org/10.1016/j.bpobgyn.2003.10.002

Vlahos NF, Economopoulos KP, Fotiou S. Adnexal torsion: diagnosis and management. Ann N Y Acad Sci. 2006;1092(1):237–46.

Cass DL, Hawkins E, Brandt ML, Chintagumpala M, Bloss RS, Milewicz AL, et al. Surgery for ovarian masses in children. J Pediatr Surg. 2001;36(5):693–9. DOI: https://doi.org/10.1053/jpsu.2001.22939

Dällenbach P, Cohen SB, Petignat P, Alarab M, Wenger JM. Predictive factors of recurrence of ovarian endometriosis. Obstet Gynecol. 2005;106(3):525–32.

Hermans AJ, Kluivers KB, Wassen MM, Dreijerink KMA, Huirne JAF. Adnexal masses in reproductive-aged women. Eur J Obstet Gynecol Reprod Biol. 2016;205:57–62.

Li C, Wen J, Hu Y, Yu M, Li Y, Zhang H. Laparoscopy versus laparotomy for surgical treatment of ovarian masses in adolescents: a meta-analysis. J Pediatr Adolesc Gynecol. 2020;33(3):233–41.