1. Postmenopausal Pelvic mass

2. Origin Uterus Tubes Ovaries Extra-Pelvic Retroperitoneal

3. Symptoms Asymptomatic Pain Pressure sensation Uterine bleeding Constipation Nausea - Vomiting Urinary disturbance

4. Uterus Myoma Endometrial Carcinoma Sarcoa of the uterus Pyometra

5. Moma of the uterus Rate 20-25% Destiny Rapid growth D & C

6. Endometrial Carcinoma Bleeding Uterine size up to 4 times D & C Surgical staging

7. Sarcoma of the uterus Mesenchymal Sarcoma Stromal Sarcoma Carcino Sarcoma

8. Sarcoma of the uterus Symptions Vaginal bleeding Abdominal pain Foul smelling descharge Prolapse of Sarcomatous Polyp Rapid uterine enlargement

9. Adnexal mass Tubo – Ovarian abscess Paraovarin cyst Tubal carcinoma

10. Tubo-ovarian abscess A Consequence of P. I
Tubo-ovarian abscess A Consequence of P.I.D Endometritis Pyelonephritis Pelvic-malignancy

11. Tubo-ovarian abscess Abdominal Pain Adnecal Mass Tenderness Fever (-) or (+) Leukocytosis (-) or (+) Diagnosis = Sonogram

12. Paraovarian Cysts 1- Remnant of Mesonephric duct sall in size
Paraovarian Cysts 1- Remnant of Mesonephric duct sall in size Hydatid of morgagni 2- True neoplasms Are rare Cystadenoma Cystadenofibroma

13. Tubal Carcinoma Very rare Similar epithelial ovarian tumors - Diagnosis = Laparotomy

14. Ovarian masses - Benign or malignant Cystic, Solid Clinically Diagnosis impossible

15. Treatment of the cysts > 5 cm = Laparotomy < 5 cm = observe