Imaging of pediatric ovarian neoplasms

Monica Epelman, Kudakwashe R. Chikwava, Nancy Chauvin, Sabah Servaes

Research output: Contribution to journalReview articlepeer-review

33 Scopus citations

Abstract

We review the clinical and imaging characteristics of the most common ovarian neoplasms in children and adolescents. Because of the widespread use of diagnostic imaging, incidental ovarian neoplasms might be encountered during the evaluation of abdominal pain, trauma or other indications and might pose a diagnostic dilemma. Conducting adequate imaging studies under these conditions is important, as management strategies differ according to the size and appearance of the lesion as well as the age of the patient. US dominates in gynecological imaging because of its excellent visualization, absence of ionizing radiation and sedation risks and comparatively low cost. For further examination of indeterminate lesions found using US, MRI is being used more progressively in this field, particularly for the evaluation of complex pelvic masses with the aim of distinguishing benign and malignant conditions and conditions requiring surgical intervention. CT is reserved primarily for tumor staging and follow-up and for emergency situations.

Original languageEnglish (US)
Pages (from-to)1085-1099
Number of pages15
JournalPediatric Radiology
Volume41
Issue number9
DOIs
StatePublished - Sep 1 2011

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Radiology Nuclear Medicine and imaging

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