Purpose: Ovarian tumors often present in different forms. When we diagnose an ovarian cyst in a young woman, it is usually a functional cyst that disappears within a few months with or without treatment. The situation changes at menopause, when the incidence of cysts with a diameter of more than 7 cm is lower and requires additional investigations. Materials and methods: We performed a statistical analysis over a period of 5 years, during the period 2019-2024, of a total of 541 tumor formations classified as benign ovarian tumors, of which 77 were hospitalized for ovarian tumor pathology associated with ascites and unpredictable evolution, with benign or borderline pathological results with paraffin-embedded reserve. Patients complained of non-specific abdominal pain associated with dysmenorrhea and dyspareunia. On gynecological examination, in the majority of cases, we found a mass protruding in the posterior vaginal wall, the upper limit of which was difficult to assess due to the irregular contour and firmness of the tumor or due to marked abdominal adipose tissue. Results: The transvaginal ultrasound examination showed in 80% of the cases - cervical canal of normal appearance,
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