Abstract
In children and adolescents ovarian neoplasms are greatly dominated by germ cell and sex cord stromal tumors. In premenarchal children epithelial neoplasms are exceedingly rare, and are almost always benign. In this age group we can find reported only one reliable case of malignant epithelial ovarian tumor. The following case report deals with a papillary ovarian adenocarcinoma at the age of 4 years.
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