الفهرس 
Diagnosis and adnexal massOnly 14 pages are availabe for public view
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Abstract
Adnexal mass i a major health problem in gynecology because 0 arian
malignancy is the fifth mo t fatal f01111 of malignancy in women following
breast lung, colon and pancreati malignancies (Silverberg etal, 1990 ),
In the united tare epithelial ovarian cancer i 110\V a leading cane of
d ath from gynecological malignancy ( Parrrrdge et al _,1999 ),
Becan e of rhe a ymptomatic nature of 0 arian malignancy 70 % of
patient have m ’t.asta i bevond the pel ’is at the time of diagno i
(Piller” 1983),
A recent met oncluded that the majority of women \ ith varian
carcinoma are asymptomatic and frequently have delay in diagnosi
( off et al., 2000) .
. arl. diagnc: i of ovarian malignancy improve the urvival and preven
the need for more aggre ive rreatm nt becaus e the fi e yearsurvival rate for
ovarian malignancy is about 20% in advanced disea e (stage III & I )
compared with 21111.10. t 80% in patient with stage J disea e (Piver., 1989).
A randomized cantrall d trial of ovarian cancer ser ning has shoe 11 a
urvival benefit ill women who develop ovarian cancer in the creened group
although the r sults do not ju tify ovarian cane r SCI’ ning in the g neral
population the data upport the 11 ed for a larger randomized trial pov ered to
as e s the impact of creening on mortalityt Menon et al ., 2000) .
valuation of adnexal rna s can be done by pelvic examination
ultrasonography, .erum CA~ 125, & MRl (Troiano et aI” 1994 ) and CI
(welner-z er al ., 1994) .
( T can be replaced by ultra’ und and MRI may 11 [be a ailabl in most
center ).
TIle pelvic examination can give valuable information about the
diagno i andmanag m nr of adnexal mas (Rus e!;, 1995).
Abdominal ultrasound appem to be more en itive and specific ill the
determination of the uarur of the adn xal mass compar d to clinical