[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]

B

A

correct answer

B simple cyst on ultrasound

 

Most ovarian masses in children are benign and ipsilateral ovarian preservation is desirable. Elevated tumor markers, a solid mass and malignant frozen section histology would indicate that ipsilateral ovarian preservation is inappropriate.