This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Carcinoma Ovary, Subject name: Gynaecology & Obstetrics
Kruti, 56 years old, complained of pain in abdomen, with USG showing 4 cm bilateral ovarian mass with increased vascularity. Next line of managements: 
Select and explain. 
A. USG guided ovarian tapping, B. Wait and watch, C. Surgery, D. OC pills x three cycles
C: Surgery
Answer: C: Surgery 
Explanation: Ans. is c, i.e. SurgeryRef: Novak 14th/ed, p472Any ovarian mass with signs of malignancy (B/L and increased vascularity) require surgery irrespective of the size.The exact nature and extent of surgery is only decided intraoperatively, depending upon the frozen section (pathology) report.