Ovarian sex-cord stromal tumors Quiz: Ace Your Exams

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A 55-year-old woman comes to the clinic due to uterine bleeding and breast tenderness. Over the past 2 months, the patient has noted occasional bloody spotting on her underwear which requires using multiple pads throughout the day. In addition, she noticed her breasts have become tender and mildly swollen. She has no urinary symptoms. Menopause occurred 5 years ago. The patient’s last Pap smear 1 year ago was normal. Family history is remarkable for breast cancer in her mother at age 65 and diabetes mellitus in her father. The patient does not smoke or use alcohol or illicit drugs. Vitals are within normal limits. On physical examination, both breasts appear engorged but without expressible discharge. Vaginal examination is normal other than minimal blood in the vaginal vault. Pelvic examination reveals a left-side adnexal mass. Laboratory tests show the following:


The patient’s mass is most likely predominantly composed of which the following cell types?

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