Adnexal cysts and benign masses in the pediatric and adolescent population: A review.
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Adnexal lesions including ovarian, paraovarian, paratubal, and benign or malignant tumors are the most common reason for gynecologic surgery during childhood. Adnexal lesions can occur at any age and may be secondary to hormonal influences. Presentation of a benign or malignant adnexal lesion is non-specific but is usually asymptomatic and progression slow making early diagnosis challenging. Developing a comprehensive differential diagnosis involves obtaining a thorough history and physical exam and often requires the use of imaging and consideration of a panel of tumor markers. In most cases, management includes observation or ovarian sparing surgery optimizing pubertal development and future fertility. Oophorectomy for benign adnexal lesions is rarely indicated.