Ovarian Cysts and Masses

[size=6]A 14-year-old girl presents with sudden onset right lower quadrant pain, nausea, and vomiting. She has right lower quadrant tenderness and fullness in the suprapubic area. An ultrasound is obtained. The most likely diagnosis is a Ruptured appendicitis with abscess b Ruptured ovarian cyst c Ovarian torsion d Acute appendicitis e Simple ovarian cyst [/size]

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Routine prenatal ultrasound reveals a simple pelvic cyst in a 36-week gestation female fetus. The baby is born at term. A follow-up ultrasound on the 2nd day of life reveals the cyst shown and one normal ovary. The baby is asymptomatic and has a normal exam. What will you do next?

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A 14-year old girl presents with 2 days of worsening RLQ pain & vomiting. US shows normal appendix & enlarged right ovary, with possible torsion. Serum AFP, bHCG, CA-125 levels are normal. At laparoscopy, no torsion is found, but there is an enlarged ovary with no obvious mass. How do you proceed?

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[size=20px]An otherwise healthy and normal appearing 11 year-old girl presents with sudden lower abdominal pain. She is tender in the LLQ to palpation. US shows an 8 cm complex cyst on the left ovary with a small amount of free fluid in the pelvis. There is decreased flow to the left ovary. The cyst shows septations with a 3 cm solid component. Tumor markers are pending. At laparoscopy, there is torsion of the left ovary and a few small lesions on the liver capsule. There are no peritoneal or omental implants. Peritoneal fluid is sent for cytology and the liver lesions are biopsied. After detorsion of the left ovary, what is the most appropriate step in management? A C…

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[size=20px]A 3 week old girl is referred for a pelvic cyst diagnosed prenatally at 34 weeks of gestation and thought to be of ovarian origin. A postnatal ultrasound done at 2 weeks of age demonstrates a 4 cm cyst close to the bladder, that contains heterogenous debris, septations, and a fluid-fluid level. She is completely well. What is the best course of action at this time? A Schedule laparoscopic cystectomy B Repeat ultrasound in 3 months C Obtain an MRI to further characterize the cyst D Aspirate the fluid within the cyst[/size]

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[size=20px]A ten-year old female presents with abdominal pain and a left ovarian mass on ultrasound. Which of the following findings would suggest an ipsilateral ovarian preserving procedure as the best option? A elevated serum alpha-fetoprotein B simple cyst on ultrasound C tumor diameter of 10 cm D frozen section reveals mucinous histology[/size]

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First one with correct answer with justification win. A 14-year old girl is admitted to the pediatric psychiatric service with symptoms of agitation, nausea, vomiting, focal seizures and catatonia. An abdominal radiograph is obtained because of the gastrointestinal symptoms, and Ultrasound suggests a mature ovarian teratoma. [center][/center] [size=20px]For this adolescent with an ovarian mass, you recommend A observation and follow-up after current condition is resolved. B complete work up (imaging, serum markers) now and proceed with early resection. C complete work up during this admission and elective plan resection at later date. D comple…

National (Egyptian) survey on current management of ovarian tumors in pediatric age group see in attachments 1-s2.0-S1110663818300946-main.pdf