Ovarian Lesions

Introduction Ovarian lesions in paediatric patients require special considerations that may not be applicable in adult patients with comparable diseases. Importantly, these lesions do not follow the same histologic distribution as those seen in adults. They range from benign cysts that can regress spontaneously to bilateral malignancies that require aggressive treatment. Gynecological malignancies account for about 1–2% of all paediatric cancers, and roughly 60–70% of gynecological malignancies are ovarian in origin.1,2 The diagnosis of ovarian malignancies can often be challenging. Early detection is vital not only for fertility preservation, but also for cure or disease-free remission. Early detection may be even more difficult in developing countries, where access to health care may be limited.