Imaging in pediatric ovarian tumors

  • Abdelrahman K. Hanafy
  • Bilal Mujtaba
  • Sireesha Yedururi
  • Corey T. Jensen
  • Ramon Sanchez
  • Mary T. Austin
  • Ajaykumar C. MoraniEmail author


The spectrum of ovarian tumors in the pediatric population differs significantly from that in adults. Germ cell tumors are the predominant class of ovarian tumors in children, whereas epithelial tumors are the most common in adults. Ultrasonography is the modality of choice for the initial evaluation of pediatric ovarian tumors. Determining the diagnosis based on imaging may prove difficult, and combining the imaging findings with the clinical scenario is very helpful in reaching a differential diagnosis during clinical practice. We will discuss the spectrum of ovarian neoplasms in the pediatric population and describe their clinical, pathologic, and imaging characteristics. A few unique entities related to ovarian tumors, such as growing teratoma syndrome, anti–N-methyl-d-aspartate receptor encephalitis, and hereditary ovarian tumor syndromes, are also discussed. In addition, we will review several entities that may mimic ovarian neoplasms as well as their distinct imaging features.


Pediatric ovarian neoplasms Pediatric ovarian tumors Pediatric ovarian masses Ovarian neoplasms in children Ovarian tumors in children Ovarian masses in children 



Dr. Farzin Eftekhari, MD for providing some images for the article.

Compliance with ethical standards

Conflict of interest

No conflict of interest reported by any of the authors.


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Copyright information

© This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2019

Authors and Affiliations

  1. 1.Diagnostic RadiologyThe University of Texas Health Science Centre at San AntonioSan AntonioUSA
  2. 2.RadiologyThe University of Texas MD Anderson Cancer CenterHoustonUSA
  3. 3.RadiologyChildren’s National Health SystemWashingtonUSA
  4. 4.Surgical OncologyThe University of Texas MD Anderson Cancer CenterHoustonUSA

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