Postmenopausal Pelvic mass

Origin Uterus Tubes Ovaries Extra-Pelvic Retroperitoneal

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

Uterus Myoma Endometrial Carcinoma Sarcoa of the uterus Pyometra

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

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

Sarcoma of the uterus Mesenchymal Sarcoma Stromal Sarcoma Carcino Sarcoma

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

Adnexal mass Tubo – Ovarian abscess Paraovarin cyst Tubal carcinoma

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

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

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

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

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

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