Pelvic ultrasound is the first imaging study that should be done to evaluate adnexal mass. The sensitivity and specificity of pelvic ultrasound are 86-91% and 68-83% respectively.Ultrasonography helps approaching if the mass could be benign or if it has certain characteristics that increases the probability of being malignant. The specificity of ultrasound in detecting benign masses is high (almost certainly benign). The specificity of ultrasound in detecting malignant masses is low but the sensitivity is high because some may turn out to be malignant after surgical evaluation(a reasonable chance of being malignant)
Ovarian cancer echocardiography or ultrasound
Sexcord/ stromal ovarian tumors physical examination
Epithelial ovarian tumors physical examination
Sexcord/ stromal ovarian tumors laboratory findings
Ovarian germ cell tumor physical examination
Epithelial ovarian tumors echocardiography and ultrasound
Infertility pelvic ultrasound
Leiomyosarcoma physical examination