WELL MADAM HELEN,
I think she is having a mass away from the uterus
in the adnexal region.
This may be a ovarian mass or a tubal mass or any other adnexal mass
. Well i am a bit worried as the the mass is liitle big of 9 cm. I think she need to be investigated. Please do a transvaginal doppler ultrasound
of the mass which will give certain idea about whether this mass is benign or malignant.If the mass looks suspicious, please go for certain others blood markers. I think she would need a surgery basing on the further tests, and she can proceed for a diagnostic laparoscopy
first and then proceed as per findings. good luck .bye