1. Diagnostic work-up in paediatric and adolescent patients with adnexal masses: an evidence-based approach
- Author
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Melanie Norton, Gulzhanat Aimagambetova, Gaetano Riemma, Milan Terzic, Benito Chiofalo, Rahul Manchanda, C.R. King, Antonio Cianci, Simone Garzon, Luigi Della Corte, Agnese Maria Chiara Rapisarda, Terzic, Milan, Maria Chiara Rapisarda, Agnese, DELLA CORTE, Luigi, Manchanda, Rahul, Aimagambetova, Gulzhanat, Norton, Melanie, Garzon, Simone, Riemma, Gaetano, Robinson King, Cara, Chiofalo, Benito, and Cianci, Antonio
- Subjects
Pediatrics ,medicine.medical_specialty ,Evidence-based practice ,Adolescent ,Population ,scoring systems ,Adnexal mass ,Diagnosis, Differential ,03 medical and health sciences ,0302 clinical medicine ,tumour markers ,medicine ,Humans ,Precocious puberty ,Vaginal bleeding ,Child ,education ,ultrasound examination ,Pregnancy ,education.field_of_study ,030219 obstetrics & reproductive medicine ,business.industry ,Obstetrics and Gynecology ,medicine.disease ,Work-up ,Abdominal Pain ,Gynecology ,Adnexal Diseases ,030220 oncology & carcinogenesis ,Female ,medicine.symptom ,Differential diagnosis ,business ,Adnexal mass, adolescent, scoring systems, tumour markers, ultrasound examination - 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. © 2020, © 2020 Informa UK Limited, trading as Taylor & Francis Group.
- Published
- 2020