The Proportion of Adolescent and Childhood Ovarian Tumors: A Study in Tertiary Care Centre

The goal of the study was to shed light on the demographic differences of ovarian cancers in children and adolescents and to generate precise therapy guidelines. At the level of the genital system, ovarian neoplasm is the most frequent cause of morbidity and mortality. In the specialized literature, the coexistence of an inflammatory process is admitted from the early stages of the evolution of this pathology.It was a descriptive longitudinal study on 50 cases of adolescent girls and children undertaken in the Department of Obstetrics and Gynaecology from February 2018 to July 2019. After proper diagnosis, surgery was performed in all cases and depending upon histopathology and cytology, adjuvant chemotherapy was given in selected cases. Patients were followed up monthly till 6 months after discharge. The most common symptom was found to be abdominal pain (42%), most common sign abdominal mass (38%). Out of 50 cases, 12% were found to be malignant, all of germ cell origin. Epithelial tumors were found to be the most common ovarian tumors (52%) up to 20 years of age, out of which benign tumors had 48% epithelial origin. However, up to 10 years of age, germ cell tumors were found to be the most common (75%). Only 1 malignant case expired, belonging to mixed germ cell variety of advanced stage. Ovarian neoplasm is very difficult to treat, especially in children and teenagers since fertility preservation is required. The cornerstones of treatment include early detection, ideal therapy, rigorous follow-up, and psychological support for patients and family.