Uterine disorders Quiz: Ace Your Exams

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A 28-year-old nulliparous woman comes to the office because of chronic intermittent dull pelvic pain for 7 months. The pain usually begins a day before menses and resolves 1-2 days after the menstruation stops. She also complains of crampy pain with defecation. Menarche was at age 13. Her cycles are regular but are associated with heavy bleeding for 5 days. She is not sexually active, and there is no history of sexually transmitted disease. Family history is remarkable for ovarian cancer in her maternal grandmother. Vitals are within normal limits. BMI is 33 kg/m2. Abdominal examination shows no abnormalities. Pelvic examination shows a fixed anteverted uterus and palpable right-sided adnexal mass. Transvaginal ultrasound of the right ovary is shown below.  


Reproduced from: radiopedia.org   

Which of the following is the most likely diagnosis?  

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