الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
The risks of cyst rupture or torsion occur more commonly in ovarian cysts more than five cm in diameter and adolescents should be informed of the risks and advised to seek care immediately in case of new symptoms. Abdominal pain is the most common presenting symptom, teenagers should be referred to experienced gynecologist in order to achieve the best possible outcome and preserve fertility. Although ultrasound is the gold standard for diagnosis of ovarian mass, it could not determine the nature of the mass, tumor size and tumor markers are more helpful to distinguish between benign and malignant ovarian masses. The most common benign tumors are mature cystic teratoma and cystadenofibroma and germ cell tumors are the most common malignancy in adolescents.Adolescents benefit from conservative management of ovarian cysts because ovarian cysts are more likely to be benign. If surgical approach is mandatory, the aim should be preservation ovarian tissue in order to preserve fertility and allow normal pubertal