Computed Tomography (CT) and pathologic correlation of ovarian tumours in children and adolescents: a review of eight cases

• Main Authors: Hassan, Radhiana, Abd. Aziz, Azian, Abdullah, Suhaiza, Ramachandran, Kalavathy, Md Ralib @ Md Raghib, Ahmad Razali
• Format: Conference or Workshop Item
• Language: English
• Published: 2011
• Subjects: RJ Pediatrics
• Online Access: http://irep.iium.edu.my/7813/1/2011_aospr_ovarian_draft_MODIFIED_%282%29.pdf; http://irep.iium.edu.my/7813/; http://www.aospr.org/meetings.html

Introduction Ovarian tumours are an uncommon form of childhood neoplasm. About 75% of ovarian tumours in children less than 18 years of age were benign, 20% malignant and 5% potentially malignant. There was little difference in the clinical presentation of children with benign versus malignant tumours. Abdominal radiograph (AXR), ultrasonography (US) and computed tomography (CT) are imaging modalities, which are widely used in the assessment of ovarian mass in these patients. Case series From January 2008 to December 2010, a total of 247 CT of the abdomen and pelvis was performed for the evaluation of ovarian masses in our hospital. Of these total, 13 were paediatric patients (aged below18 years) where 8 of them underwent surgical removal of the masses. These 8 cases were retrieved and reviewed. CT features, correlation with surgical findings and histopathologic (HPE) analysis of the lesions are presented in this review. Conclusion Despite the overall rarity of ovarian masses in the paediatric population, the relatively high potential for malignancy necessitates prompt evaluation and treatment. Current goals of therapy should be aimed at cure and preservation of fertility.