Clinical Analysis of Ovarian Neoplasms in Young Girls and Adolescent Girls

Objective To study the clinical feature and treatment of ovarian neoplasm in young girls and adolescent girls.Methods A retrospective analysis was performed on 64 patients with ovarian neoplasm between the age of 4 and 19 from February 1999 to April 2009.Results The average age of the patients was 16.4 years old.64 cases fell into 3 groups according to age:3 cases(4.7%) with 4 ～ 9 years old,13 cases(20.3%) with 10 ～ 14 years old,48 cases(75%) with 15 ～19 years old.The histological types included ovarian sex cord stromal tumor in 3 cases,epithelial ovarian tumor in 22 cases and ovarian germ cell tumor in 39 cases.In the patients,2 cases were with borderline tumors and 6 cases were with malignant tumors.All the patients received surgery.Surgery that retained reproductive function was carried out on the malignant ovarian germ cell tumor patients.Radical surgery was carried out on the epithelial ovarian cancer patients.A cisplatin combined chemotherapy was given to 4 patients with malignant ovarian germ cell tumor.During follow-up,3 cases were dead among 6 cases of malignant ovarian neoplasm;the other cases had no recurrence.Conclusion Ovarian germ cell tumor is the most common histological type in young girls ang adolescent girls,but the rate of epithelial ovarian tumor increases with the increasing of age.Conservative surergy can be carried out on patients with malignant ovarian germ cell tumor.