Decision in Adnexal

Laboratory fi ndings such are white blood count and sedimentation rate are of relative value in infl ammations of the upper genital tract and adnexal infl ammatory tumors. Antibiotics are ad-ministrated in all cases according to the protocol but some of them need operative treatment also. Infl ammatory tumors can develope in endometriotic and even in cancer adnexal masses. CA is elevated in great number of patients with advanced ovarian cancer. It can also be elevated in endometriosis, infl ammations and in nongynecological malignacies. Adnexal in-fl ammatory tumor was confi rmed in patients. Laboratory fi ndings: white blood count and sedimentation rate were in normal levels in patients. CA was elevated in patients. patients were operated and CA decreased in the fi rst days after the operation. Only patients without CA elevation were sucessfully treated by mean of antibiotics. Even there is no need for routine examining of serum CA in adnexal infl ammatory tumors it can be examined in cases with suspected Doppler ultrasonographic fi ndings or unclear clinical fi ndings. Endometriosis brings some risk of malignancy. Infl ammatory tumor can develop in endometriotic tumor as well as in necrotic malignant ovary tissue. Th ese could be reasons for making decision to do the operation in cases with infl ammatory tumor followed with increased CA , hystological assesment and serious interpretation of fi nal results.