الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
The presentation of an adnexal cyst or mass in an adolescent is a concerning event for the patient and the family. Patients are most likely to present with abdominal pain or menstrual complain. The diagnostic imaging of choice is pelvic ultrasonography. The majority of these lesions are benign ovarian cysts. These cysts should be followed with ultrasound, as many will spontaneously regress. Ovarian cysts that are failed to resolve, severely symptomatic, or concerned with malignancy require further evaluation with CT, MRI or surgical intervention. Ovarian conservation is the ideal treatment in order to continue normal pubertal development and preserve reproductive health.
The diagnostic study of choice for adnexal cysts or masses in the adolescence is ultrasonography. A common finding on ultrasound is a functional cyst. Functional cysts form when a follicle fails to involute after ovulation and continues to enlarge. Functional cysts are radiologically described as anechoic thin-walled cysts with distal acoustic enhancement. Corpus luteum cysts are distinguished from “simple” or follicular cysts since they often display internal echoes. If hemorrhage within the cyst occurs, the cyst may appear complex or solid. A hemorrhagic cyst will first appear with a homogenous increase in echogenicity and fluid debris within the cyst.