Ovarian cancer Quiz: Ace Your Exams
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A 22-year-old woman presents to the office with dull pelvic pain for the past three days. She reports frequent bloating prior to her menses that subsides within a few days of the onset of menstruation. The bloating has persisted throughout her last 2 cycles. She does not have early satiety, urinary symptoms, hirsutism, vaginal bleeding or discharge. Medical history is significant for ovarian cystectomy of a benign cystic teratoma. Family history is non-contributory. She has not been sexually active for the past 6 months. Vital signs are within normal limits. Physical examination reveals right lower abdominal tenderness without guarding or rebound. Pelvic examination reveals a 10 cm firm, mobile mass on the right. Pelvic ultrasound shows an 11 cm solid right ovarian mass with internal vascularity and no ascites. Laboratory findings include an elevated LDH level of 850 U/L. AFP, hCG, CA-125, Inhibin A, Inhibin B, estradiol and testosterone levels are within normal limits. Which of the following microscopic findings is most likely to be seen, given the likely diagnosis?
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