الفهرس 
SURGICAL TREATMENTOnly 14 pages are availabe for public view
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Abstract
Ovarian malignancy still remains the most lethal yariety of gynecolOgical cancer. This is because, the onset and .arly deyelOpment of these tumours are particularlY silent, so early diagnoSis is rare. The three conyentional arms in any therapatic protocol include sugery. radiother~y and chemotherapy, A fourth promising arm but still under inyestigation is the immunotherapy. surgery remains the Mey stone in the treatment of ovarian malignancy, It is used to english the diagnosis, determine the extent and stage af the disease, and undertame the initial treatment. Total bdominal hyserectamy and bilateral salpingo-oophorectomy make up the generallY accepted treatment of oyarian cancer, if the tumour is confined to the internal genitalia. The new technique af retroperitoneal approach facilitated the surgical treatment when the tumour is fiMed ar adherent to other pelvic organs. It also preyent haemorrhage and help the identification of the important anatamic structures, as well as removal of the uterus and bully tumour massem. The objective of the operation is enucleation of a fixed tumour by elevation of the pelvic.