Özet:

Introduction and Target: Adolesan age group is of importance in terms of the need for a low frequency of adverse mass appearance compared to the reproductive age group and the preservation of the subsequent fertility potential. The aim of this study is to summarize the preoperative and postoperative diagnoses of adnectic masses detected and surgically managed in girls in the late adolescent age group, the forms of surgical treatment and the histopathological diagnoses. Method and Requirements: In this study between the years 2014-2015 Zekai Tahir Burak Women’s Health Education Research Hospital Youth Center with a complaint of pelvic pain and menstrual irregularity and after receiving the adverse mass diagnosis, the records of 104 cases of surgical intervention were examined. The age of patients, application complaints, placebo diagnoses, applied surgical therapy methods and postoperative histopathological diagnoses were analyzed by examining records. The average age of the cases included in the study was 20.8±2.6 and 94.3 percent of the cases were laparoscopically operated and 4.8 percent (n=5) were laparotomially operated. The most common postoperative diagnosis was dermoid cyst (31.4%; n=33) followed by functional cyst (21.9%; n=23) and endometriotic cyst (13.3%; n=14). According to the histopathological analysis of the frozen study and paraffin cuts, the number of malignities found was 2 (1.9%). Acute ovarian tortion 3 (2.9%) and tubovaryan abse 2 (1.9%) were detected. In the late adolescent age group, anovulation and associated functional ovarian cysts are less observed than in the earlier age group. In this age group the first place is overin real neoplasms such as dermoid cysts. Because the malignity rates are very low, treatment should be aimed at preserving minimal invasive approach and maximum fertility. Turkish Short Title: Adolesan adverse mass operated patients

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