Postmenopausal Pelvic massPostmenopausal Pelvic mass

OriginUterusTubesOvariesExtra-PelvicRetroperitoneal

SymptomsAsymptomaticPainPressure sensationUterine bleedingConstipationNausea - VomitingUrinary disturbance

Uterus

MyomaEndometrial CarcinomaSarcoa of the uterusPyometra

Moma of the uterus

Rate 20-25%DestinyRapid growthD & C

Endometrial Carcinoma

BleedingUterine size up to 4 timesD & CSurgical staging

Sarcoma of the uterus

Mesenchymal SarcomaStromal SarcomaCarcino Sarcoma

Sarcoma of the uterusSymptionsVaginal bleedingAbdominal painFoul smelling deschargeProlapse of Sarcomatous Polyp

Rapid uterine enlargement

Adnexal mass

Tubo – Ovarian abscessParaovarin cystTubal carcinoma

Tubo-ovarian abscessA Consequence of P.I.DEndometritisPyelonephritisPelvic-malignancy

Tubo-ovarian abscessAbdominal PainAdnecal MassTendernessFever (-) or (+)Leukocytosis (-) or (+)Diagnosis = Sonogram

Paraovarian Cysts1- Remnant of Mesonephric duct sall in size. Hydatid of morgagni2- True neoplasms Are rare Cystadenoma Cystadenofibroma

Tubal CarcinomaVery 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