PELVIC MASSES AND ENDOSCOPIC SURGERY - DIAGNOSIS

Most adnexal massess are benign but a careful preoperative evaluation is necessary to exclude malignancy. Pelvic examination is considered t o be of limited importance Ultrasonography is of prime importance and also tumor marker's assays. The last step of evaluation to exclude mal ignancy is the laparoscopic inspection of the tumor. If any signs of m alignancy are found, laparotomy is performed immediately. The majority of patients with a benign adnexal cyst can be treated by operative en doscopy.