Less than 10% of the neoplasms occurred at age <5 years, -20% from 5-9, and >70% from 10-14 years. Germ cell neoplasms of greater malignancy (immature teratomas, endodermal sinus tumours) occurred in a significantly higher proportion at younger age ( < 10 years) than dysgerminomas (P =0.01).The overall incidence (- Ovarian tumours are extremely rare in infants and children, representing a small proportion of all ovarian neoplasms (-0.2-0.3% of such tumours occur in girls under 15 years, OPCS, 1980-82). The childhood tumours do, however, include many distinct pathological and clinical entities, with differing epidemiology, therapeutic approach and prognosis.The great variety of types and the structural complexity of the pathological classification have hindered efforts at analytical studies on appropriate numbers: although a considerable number of papers dealing with this subject have been published over the last few years, the great majority are single-case reports. The few series reporting greater numbers of patients are mostly based on hospital case lists (Breen & Maxson, 1977), from which only unreliable estimates of the relative frequency can be derived, and often include both benign and tPresent address: