Surgical Management of Ovarian Masses in the Paediatric Population: Current Practices and Future Directions

Ovarian lesions in the paediatric population are rare and may be either non-neoplastic or neoplastic in nature. Among the neoplastic lesions, the vast majority are benign, with mature teratomas being the most common subtype. This review outlines the current surgical management of ovarian lesions in paediatric patients, with particular focus on recent research findings and advances in the field. Ovary-sparing, minimally invasive surgical techniques, including robot-assisted approaches, are recommended for benign lesions. In cases where malignancy is suspected, laparotomy with complete tumour excision, oophorectomy, and staging is performed. Accurate evaluation of the lesion's nature and early diagnosis are critical to preventing complications and preserving future fertility.