ABSTRACT
References 267
1. INTRODUCTION
The evaluation and treatment of the child with an adnexal mass has changed considerably
in recent years. The routine and liberal use of prenatal screening ultrasound and advances
in technology have resulted in the detection of a number of masses, particularly cysts, that
previously might have gone undetected (1-5). Increased sophistication of postnatal
imaging modalities, including the use of doppler ultrasound, computed tomography,
and magnetic resonance imaging have allowed more precise and specific characterization
of adnexal masses prior to surgery (4,5). As laparoscopic techniques and equipment have
become increasingly suited to the pediatric patient, increased treatment options have
brought with them a new set of controversies. Principles derived from a better understand-
ing of adnexal masses in children can make it possible to make good use of still emerging
laparoscopic approaches.
