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20 January 2019

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Int J Med Sci 2013; 10(8):1061-1067. doi:10.7150/ijms.6216

Research Paper

Clinicopathologic Review of Ovarian Masses in Korean Premenarchal Girls

Eun Young Ki1, Seung Won Byun1, Yoon Jin Choi1, Keun Ho Lee1, Jong Sup Park1, Sung Jong Lee2, Soo Young Hur1,✉

1. Department of Obstetrics and Gynecology, The Catholic University of Korea, Seoul St. Mary's Hospital;
2. Department of Obstetrics and Gynecology, The Catholic University of Korea, St. Vincent Hospital.


Objective: To review the clinicopathological characteristics of ovarian masses in Korean premenarchal girls.

Design: The data collected from hospital medical records were reviewed retrospectively regarding age, presentation, diagnosis, treatment, and outcome.

Participants: There were 65 premenarcheal girls who underwent surgery at Seoul St. Mary's Hospital between January 1990 and March 2012.

Results: The most common presenting symptom was abdominal pain (n=31, 47.7%), followed by palpable abdominal masses 16 (n=16, 24.6%), abdominal distension (n=8, 12.3%), vaginal bleeding (n=4, 6.2%), incidental finding (n=3, 4.6%), difficulty in urination or defecation (n=2, 3.1%), and prenatal sonographic findings (n=1, 1.5%). Of the patients with benign tumors, including non-neoplastic lesions and benign cysts, 26 (51%) underwent cystectomy, 6 (11.8%) underwent oophorectomy, 17 (33.3%) underwent unilateral salpingo-oophorectomy and none underwent bilateral salpingo-oophorectomy. Of the patients with malignant tumors, 2 (14.3%) underwent bilateral salpingo-oophorectomy, 7 (50%) underwent unilateral salpingo-oophorectomy, 2 (14.3%) underwent oophorectomy, and 2 (14.3%) underwent cystectomy.

Conclusion: Abdominal pain was the most common symptom. However, the incidence of abdominal distension was higher in patients with malignant tumors than in those with benign tumors. We assessed clinical features, operative outcomes, and histological classifications of Korean prememarchal girls with ovarian masses. Further studies with a larger number of subjects are needed to confirm our results.

Keywords: premenarchal girl, ovarian mass, clinicopathological observation.

This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY-NC) License. See for full terms and conditions.
How to cite this article:
Ki EY, Byun SW, Choi YJ, Lee KH, Park JS, Lee SJ, Hur SY. Clinicopathologic Review of Ovarian Masses in Korean Premenarchal Girls. Int J Med Sci 2013; 10(8):1061-1067. doi:10.7150/ijms.6216. Available from