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The article discusses a study which investigated the frequency of torsion of malignant ovarian tumors in children and adolescents. Patients treated for adnexal torsion in a tertiary care referral pediatric institution during the last 20 years were evaluated in the study which also investigated the origin of these tumors. The study concluded that the torsion of malignant ovarian tumors in pediatric and adolescent patients occurs very rarely, but it is possible at any stage of disease. It was also found that the most common torsioned malignant ovarian tumors were of germ cell origin.

Germ cell tumors (GCT) are a complex, heterogeneous collection of tumors that may present in either gonadal or extragonadal sites. They consist of a variety of benign and malignant histologies that can occur at several locations throughout the body. An important component of treatment is surgical resection, and while the key components of resection are site specific, the universal goals of GCT resection include the complete resection of tumor without violating the tumor capsule, while preserving function of surrounding organs, minimizing morbidity, and assessing for regional spread., (© 2024 Wiley Periodicals LLC.)