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They can arise from almost any gynecologic structure, in addition to adjacent nongynecologic organs Pregnancy-associated processes should always be considered and can be ruled out rapidly with a negative serum pregnancy test In premenopausal women, the risk of malignancy with any adnexal mass is 6% to 11%5 The most common ovarian mass in women of this age group is a functional cyst, speci cally a follicular or corpus luteum cyst Other common non-neoplastic cysts include endometriomas and multiple follicular cysts associated with polycystic ovarian syndrome The most common benign cystic neoplasms are serous and mucinous cystadenomas and benign cystic teratomas Serous cystadenomas are more common than mucinous, and are more often bilateral (20 25% versus 5%) Other etiologies include in ammatory or infections processes, benign solid tumors such as Brenner tumors or bromas, and malignancies These will be discussed later in the chapter.

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In the United States, approximately 20% of patients are treated for GTN after evacuation of a hydatidiform mole.4 The following are recognized risk factors for developing postmolar GTN. It should be recognized that the risk of postmolar GTN is seven to ten times higher for complete moles than partial moles. 1 The size of the uterus at the time of diagnosis has been considered for many years to be signi cant with regard to malignant sequelae; 25% of patients with large-for-dates uteri developed GTN when compared to 11% in patients with small-for-dates.4 2 Theca lutein cysts (Fig. 14.2), irrespective of uterine size, are associated with subsequent GTN. In some series, patients with enlarged ovaries had a 49% chance of developing GTN.1, 2 3 Patients with signs of marked trophoblastic proliferation (elevated hCG 100,000 IU/mL, uterine size greater than gestational age, and theca lutein cysts 6 cm) had an elevated risk

3 Pregnant women are at the same age-related risks for benign and malignant adnexal masses as nonpregnant women They are also at risk for several neoplasms that are unique to pregnant women; these include ectopic pregnancy, theca lutein cysts, corpus luteum of pregnancy, and lu-.

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continue to employ outdated stereotypes of those children in their arguments to the court. Psychology has had a signi cant impact on the legislature but not on the practitioners. It is not the purpose of this chapter to suggest what should be done about this situation. It could be said that nothing should be done since within an adversarial system defence counsel have to be free to do their duty to advance all arguments likely to advance their client s interests, provided counsel does not actually know that an argument is false. However, it can also be argued that where a defence is exceptionally unlikely and yet might have great in uence over the jury, its use should be controlled unless counsel can show some foundation. Something similar has already been done in relation to the questioning of rape complainants about their sexual history on the grounds that juries gave undue weight to that information in assessing the complainant s credibility (Sexual Offences (Amendment) Act 1976, s. 2). There is also the question of whether it is economic to allow lawyers to carry excess baggage into the system in the form of irrelevant defences. In these days of overloaded court calendars, this is perhaps not a minor consideration. Overall, however, we may have to wait until the public is more accepting of children s capabilities before lawyers stop using these outdated and damaging stereotypes.

First, we assume that the grain sizes in the interconnection line follow a lognormal distribution characterized by a median value D50 and standard deviation s. Next, for an interconnection line of length L, we divide it into Nl segments of equal length D50 , that is, Nl L=D50 , where Nl is taken as the nearest integer value. Further, if W is the width of the interconnection line, we partition it into Nw parallel strips of width D50 each with some remaining strip of width less than D50 such that Nw W=D50 , where Nw is taken as the larger nearest integer. For a line of width less than D50 , Nw 1.