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Dermoid cysts in adolescents

Multani, Jasmine; Kives, Sari

Current Opinion in Obstetrics and Gynecology: October 2015 - Volume 27 - Issue 5 - p 315–319
doi: 10.1097/GCO.0000000000000206
ADOLESCENT AND PEDIATRIC GYNECOLOGY: Edited by Paula J. Adams Hillard
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Purpose of review Dermoid ovarian cysts, or mature cystic teratomas, are the most common benign ovarian neoplasms found in adolescents and they continue to challenge clinicians about correct management and treatment.

Recent findings Laparoscopic treatment for large cysts is usually the preferred method with ovarian preservation. Cyst rupture and recurrence still remain potential risks of this surgical approach. Torsion can occur frequently in the population and when it occurs, fertility-sparing treatment should be attempted.

Summary Physicians should understand the major controversies surrounding management of dermoid cysts and the importance of preserving future fertility.

University of Toronto, Toronto, Ontario, Canada

Correspondence to Sari Kives, MD, FRCSC, University of Toronto, Hospital for Sick Kids, 555 University Avenue, Toronto, ON, M5G 1X8, Canada. Tel: +1 416 813 6188; e-mail: kivess@smh.ca

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