Ovarian Mucinous Borderline Tumor In Perimenarchal Girls- A Dilemma To The Treating Doctor.

Abstract

Ovarian epithelial tumors are common in adult women but infrequent in children and rare before puberty. These tumors constitute a dilemma to the clinician because no general consensus exists regarding their treatment protocol in adolescent girls. In young patients with ovarian cysts requiring removal, a conservative approach of ovarian cystectomy is advocated to enable retention of functioning ovarian tissue for endogenous hormone production and future conception. However, incidence of recurrences are high in such cases. Borderline tumors in adolescents are usually associated with a favourable prognosis. We report two cases of mucinous borderline tumor in adolescent girls aged 15 and 14 years respectively, one of whom presented with a recurrent ovarian mass previously treated twice with cystectomy. Both of them showed evidence of huge multiloculated cystic masses on ultrasound examination and both were treated with cystectomy. Because the management of young patients is challenging, especially in cases with recurrence, regular follow-up of these patients is very important.