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Cystic ovarian masses commonly occur in infants, children and adolescents. They may be discovered due to symptoms, during a routine physical exam or incidentally through imaging studies. Historically, these masses were surgically removed, often involving removal of the entire ovary. Over the last decade, however, the management of ovarian masses has shifted toward a more conservative approach with the goal of ovarian preservation. In this video, Chief of Pediatric and Adolescent Gynecology, Tricia Huguelet, MD, discusses the epidemiology, clinical features and management of ovarian cysts that may occur during the fetal and neonatal periods, and on through adolescence. She also discusses the preferred diagnostic modality and when to consider surgery. In addition, she reviews the potential for ovarian torsion, including signs and symptoms, evaluation and management. For more information about the Pediatric and Adolescent Gynecology Program, visit https://www.childrenscolorado.org/doc.... Connect with Children’s Colorado: Instagram: / childrenscolo Facebook: / childrenshospitalcolorado Twitter: / childrenscolo LinkedIn: / children's-hospital-colorado Website: http://www.childrenscolorado.org