Abstract: Ovarian tumors in children and adolescents are rare diseases. The distribution of neoplasms in the pediatric population is different from that in adults; benign mature cystic teratoma is the most common ovarian tumor in children Although the majority of tumors are benign，the diagnosis and management present various challenges that require a wide range of expertise. The multidisciplinary team ensures not only accurate diagnosis and correct and minimally invasive management，but also minimal psychological impact and the preservation of fertility. During management a multidisciplinary team is essential for the physical and psycho-emotional wellbeing of this vulnerable population of patients. This article outlines the multidisciplinary team approach to ovarian masses in children and adolescents. The team includes pediatric oncologists，gynecological surgeons，pathologists，radiologists，fertility experts，geneticists and psycho-social services.

Key words: adnexal mass, adolescents, germ cell tumor, multidisciplinary cooperation

摘要： 青少年附件包块是常见的生殖器官疾病，青春期发育阶段女性就诊妇科，影像学检查提示附件包块会涉及包块的进一步诊治，妇科医生会进一步检查以明确病理诊断，并提出后续治疗的建议。青少年常见的良性附件肿瘤是良性畸胎瘤（成熟性畸胎瘤），囊肿扭转是青少年常见的妇科急诊；常见附件恶性肿瘤是恶性生殖细胞肿瘤及性索间质肿瘤，这类肿瘤恶性程度高但经过规范化治疗预后良好。因此，重视青少年女性妇科肿瘤的问题、良性肿瘤的确诊、防止出现急诊情况、恶性肿瘤的早期诊断及治疗均是非常重要的。青少年属于特殊发育阶段，这个年龄的妇科附件肿瘤的诊治关系其一生的生长生育，需要有妇科内分泌理念，更要有肿瘤理念，需要及时治疗，更需要长期管理。

关键词: 附件包块, 青少年, 生殖细胞肿瘤, 多学科合作