Primary tumors of the ovary are uncommon in children and the majority of these masses are not malignant. As newer diagnostic imaging techniques have increased the detection of all ovarian masses, the frequency of ovarian cancer has actually decreased. Clinical symptoms are generally not helpful in distinguishing benign from malignant masses, but radiographic criteria have been developed. Surgical treatment is aimed at ovarian preservation if the lesion proves benign.
aDivision of Pediatric Surgery, Departments of Surgery and Obstetrics and Gynecology, University of Southern California, Children’s Hospital, Los Angeles, California
bDivision of Pediatric Surgery, Department of Surgery, University of Louisville School of Medicine, Louisville, Kentucky
Address reprint requests and correspondence: Mary E. Fallat, MD, University of Louisville School of Medicine, Department of Surgery, Division of Pediatric Surgery, 233 E. Gray Street, Ste. 708, Louisville, KY 40202.