Case 1--22 year old patient with dense permagnum adult teratoma, ascites, ipsilateral hydro-ureter and hydro-nephrosis, elevated C -125 level a pseudo- military peritoneal spread. Case 2--19 -year old patient with endometrial kystoma, originating at the uterine fundus with with elevated C-125 levels. Case 3--22 year old patient with monstrous tecoma permagnum, ascites and concomitant pleural effusions as in Meigs syndrome. Case 4--66 year old patient, multiparous with granular cell tumor, recurrent uterine bleeds and endometrial poliposis, with ambiguous C-125 level and congenital uterus bicornis bicolis anomaly. Cases are presented in chronological order, with detailed description and accompanying abundant photo images.