A few days ago, a 29-year-old woman presented to the hospital with an infertility problem and was admitted for surgery after ultrasound examination revealed cystic ovarian masses. She was admitted to the hospital for surgery. Unfortunately, a “cauliflower-like” tumor was seen on the surface of both ovaries during surgery. This is a tumor between benign and malignant. Intraoperatively, the pelvic and abdominal cavities were fully explored, and implantation of metastases around the uterus was seen. Lv Hongtao, Department of Obstetrics and Gynecology, Shandong Qianfo Mountain Hospital Sadly, the young girl was just married and had not yet given birth. Because the tumor had metastasized in the pelvic cavity, one ovarian tube was removed intraoperatively and one ovarian tube was preserved because the patient had not yet had children. Intraoperative chemotherapy was given by intraperitoneal infusion. Postoperatively, the patient was advised to continue chemotherapy for 2 courses. However, it is not known what the prognosis is. The purpose of this article is to remind all lesbians that ovarian cysts that persist on repeated ultrasounds are pathological cysts and need to be surgically removed. For those cystic ovarian tumors, it is more important to be alert for malignant or junctional ovarian tumors.