Surgical approach in cases of adnexal pathology in adolescents and young women

: Retrospective analysis comprised 108 cases of adnexal pathology found at laparotomy in the group of adolescents and young women up to the age of 25. The most common condition necessitating the laparotomy was hemorrhagic corpus luteum (24% of cases). Adnexal cysts of different but benign histological structure had been found in 30.5% of cases. Malignant germ cell tumors (6 cases--dysgerminoma and teratoma immaturum) all of which at Ia stage at the time of laparotomy, had been treated conservatively with unilateral salpingo-oophorectomy. Authors suggest that the conservative approach should be applied in most cases of adolescents' adnexal pathology.