Approach to adnexal masses Quiz: Ace Your Exams
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A 28-year-old nulligravid woman presents to the clinic with infertility. She and her partner have been trying to conceive for 12 months without success despite regular unprotected intercourse. She has regular menstrual cycles, coming every 29 to 30 days, lasting 4 days, with average flow, and without significant dysmenorrhea. Review of systems is negative. Past medical history is notable for pelvic inflammatory disease (PID) six years ago. The patient does not use tobacco, alcohol, or drugs. Her only medication is a prenatal vitamin. Temperature is 36.7°C (98.0°F), pulse is 72/min, respirations are 18/min, and blood pressure is 120/80 mmHg. The head, neck, thoracic, and abdominal exams are normal. Pelvic exam shows adnexal fullness on the left side. A urine pregnancy test is negative, and standard serum hormone testing is within normal limits. A pelvic ultrasound shows an adnexal mass. Considering the most likely diagnosis, the adnexal mass is most likely to have which of the following characteristics?
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