Q.

A 47-year-old woman has noted a pressure sensation, but no pain, in her pelvic region for the past 5 months. On physical examination there is a right adnexal mass. An ultrasound scan shows a 10 cm fluid-filled cystic mass in the right ovary. A fine needle aspirate of the mass is performed and cytologic examination of clear fluid aspirated from the mass reveals clusters of malignant epithelial cells surrounding psammoma bodies. Which of the following neoplasms is she most likely to have?

A. Endometrial adenocarcinoma
B. Ovarian serous cystadenocarcinoma
C. Mesothelioma
D. Ovarian mature cystic teratoma
E. Adenocarcinoma of fallopian tube
Answer» B. Ovarian serous cystadenocarcinoma
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