Tumor-like Masses of Uterine Appendages As Concomitant Gynecologic Pathology in Acute Surgical Pathology in Girls of Puberty Age
Growth of frequency of tumor-like masses of uterine appendages, which appear more frequently in active periods for ovaries — at period of the puberty and at reproductive period, negatively influences the state of health of women population. Absence of specific symptoms, tendency to growth, possibility of malignization of benign tumors cause a necessity for determination risk factors of their occurrence. To develop diagnostic algorithm and differentiated approach to the methods of treatment, there has been carried out a retrospective analysis of treatment outcomes for adolescent girls with acute surgical pathology of abdominal cavity organs and concomitant gynecologic pathology for period from 2009 to 2011. As a result of analysis of 78 clinical charts adolescent girls with acute surgical pathology of abdominal cavity organs it was defined, that tumor-like masses of uterine appendages had been detected in 35 (44.87 %) of patients, apoplexy of right or left ovary — in 43 (55.13 %). It is determined, that treatment outcomes for adolescent patients with concomitant gynecologic pathology depend on timeliness of correct diagnosis. Presence of occasional pains in the abdomen in anamnesis is an indication to ultrasound examination of abdominal cavity organs in emergency hospital admissions; girls of puberty age should be advised by pediatric gynecologist, pediatric endocrinologist. In families with high risk for tumor-like masses of uterine appendages medical and genetic consultation should be carried out.