Do ovarian inflammatory masses require surgery?

Patient's question:

Right lower abdominal mild pain. Past treatment history and effectiveness: Two years ago, I had a subtotal hysterectomy. After that, I have had chronic pelvic inflammation, which has not been treated. A few days ago, an ultrasound showed a solid and cystic mass in the right ovary, measuring 7.03.2. CA199 and CA125 were both normal. What kind of help do you need: Hello, can this condition be treated without surgery? Is medication an option?

Doctor's answer:

So large a lump, if there are no surgical contraindications, it is generally necessary to surgically remove it for treatment. Because the larger the lump, the higher the possibility of it rupturing and causing bleeding. Moreover, overly large lumps can easily affect surrounding organs, leading to other symptoms, as well as a higher likelihood of malignancy.
Your CA199 and CA125 are normal, but it is by no means possible to completely rule out the possibility of a malignant tumor. It is recommended to seek hospital treatment as soon as possible.

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