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This video shows an Ovarian Mass in a woman aged 70 years. The ovaries are the sex organs that produce female hormones, and store and release eggs between puberty and menopause. An ovarian mass may be a cyst or a tumor growth (which may be non-cancerous i.e. benign, or cancerous) that develops in one or both of the ovaries. A pelvic mass may represent either benign (not cancerous) or malignant (cancerous) conditions. Symptoms of ovarian cysts, masses or tumors may include: Pelvic pain. Nausea or vomiting. Germ cell tumors for 20 to 25% of all tumors, benign as well as malignant, of the ovary. Approximately 3% are malignant. Ovarian cancer is difficult to detect in its early stages because there isn't a screening test for it. Also, the symptoms are common for a number of noncancerous conditions. Symptoms of ovarian cancer abdominal pain or bloating. constipation. increased urination. back pain. fatigue. heartburn. feeling full quickly. Ovarian tumors that are frequently associated with calcifications include serous epithelial tumor, fibrothecoma, mature or immature teratoma, and Brenner tumor. When bilateral complex ovarian masses are seen, metastatic ovarian tumors and serous epithelial tumors of the ovary should be considered. Ovarian calcifications are commonly found in the context of a mass (mature teratoma, mucinous cystadenoma, serous neoplasia) but also in grossly normal ovaries. Ovarian calcifications are considered dystrophic (associated with cellular degeneration) Impaired metabolism elevates the pH and induces intracellular precipitation of calcium salts within epithelial cells or hystiocytes. Causes of calcification infections. calcium metabolism disorders that cause hypercalcemia (too much calcium in the blood) genetic or autoimmune disorders affecting the skeletal system and connective tissues. persistent inflammation. Percentage of calcifications suspicious of malignancy The rate of malignancy in a study was 40.0% for cases with a single cluster of microcalcifications, 50% for those with multiple clusters and 60.0% for those with dispersed microcalcifications. Ovarian cancer grows quickly and can progress from early to advanced stages within a year. Paying attention to symptoms can help improve a woman's chances of being diagnosed and treated promptly. Detecting cancer while it is still in its earliest stages may help improve prognosis. Metastatic ovarian cancer is an advanced stage malignancy that has spread from the cells in the ovaries to distant areas of the body. This type of cancer is most likely to spread to the liver, the fluid around the lungs, the spleen, the intestines, the brain, skin or lymph nodes outside of the abdomen. Epithelial ovarian cancer presents as a wide variety of vague and nonspecific symptoms, including bloating, abdominal distension or discomfort, pressure effects on the bladder and rectum, constipation, vaginal bleeding, indigestion and acid reflux, shortness of breath, tiredness, weight loss, and early satiety. Mostly imaging tests like ultrasound or MRI can determine if an ovarian cyst or tumor is benign or malignant. To confirm or rule out ovarian cancer, doctor may perform a biopsy. They will collect a sample of the cyst or tumor for analysis under a microscope. This will help them determine if it's cancerous. But in rare cases, ovarian tumors can grow much larger. ... When it comes to ovarian cancer, size doesn't necessarily matter. Smaller tumors are just as likely to be malignant. Unfortunately, symptoms of ovarian cancer are vague, causing women to delay seeking care. Surgery to remove an ovarian mass can be done either open or laparoscopically. Open surgery is usually done through a “bikini” incision low in the abdomen, splitting rather than cutting the abdominal muscles. Laparoscopic surgery is done through small incisions in the umbilicus and lower abdomen. Adnexa: In gynecology, the appendages of the uterus, namely the ovaries, the Fallopian tubes, and the ligaments that hold the uterus in place.