Q.

A 48-year-old woman has noted a small amount of irregular vaginal bleeding for the past 2 months. She has a pelvic examination that reveals no cervical lesions, and a Pap smear that shows no abnormal cells. Next, an endometrial biopsy is performed, and there is microscopic evidence for endometrial hyperplasia. An abdominal ultrasound reveals a solid right ovarian mass. Which of the following neoplasms is this woman is most likely to have?

A. Mature cystic teratoma
B. Choriocarcinoma
C. Sertoli-Leydig cell tumor
D. Fibrothecoma
E. Krukenberg tumor
Answer» D. Fibrothecoma
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