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Women present with a big mass will feel worried and uncertain about herself as there is a possibility of cancer. Most of the big masses are originated from the uterus or ovarian origin and it is vital for the patient to find out the most possible diagnosis. With the improvement of modern technology, the ultrasound plays an important role to get the diagnosis, however, it has some limitations like difficulty to visualize the whole mass. Other investigations like CT and especially, MRI will help to reach the appropriate diagnosis and as a result, aid in making an efficient plan for the respective diagnosis with least morbidity. It is a great challenge for the clinician but those who have adequate knowledge, competency in surgical skill with well-learnt experience will not consider it as a big deal.