Original ArticlesAdnexal Masses in Infancy and ChildhoodSCHULTZ, KRIS ANN P. MD; NESS, KIRSTEN K. PhD; NAGARAJAN, RAJARAM MD, MS; STEINER, MARIE E. MD, MSAuthor Information *Department of Pediatrics, Division of Hematology/Oncology/Blood and Marrow Transplantation, University of Minnesota, Minneapolis †Division of Epidemiology and Clinical Research, Minneapolis, Minnesota Correspondence: Dr Marie E. Steiner, MD, MS, Department of Pediatrics, University of Minnesota, Mayo Mail Code 484, 420 Delaware Street SE, Minneapolis, Minnesota 55455. E-mail: email@example.com Clinical Obstetrics and Gynecology: September 2006 - Volume 49 - Issue 3 - p 464-479 Buy Abstract The presentation of adnexal masses in childhood differs from that in adult women. Children may present with poorly localized symptoms or precocious puberty. Ovarian cysts occur throughout development; ovarian tumors are less frequent but occur in all age groups. Congenital malformations may present with signs or symptoms of an adnexal mass. Occasionally adnexal findings may suggest the presence of an underlying syndrome. Assessment of the patient's developmental, hormonal, and pubertal status is necessary to ensure an accurate diagnosis. Treatment options must consider risks to ovarian function and future fertility. Copyright © 2006 Wolters Kluwer Health, Inc. All rights reserved.