Normal-sized Uterus in Obstetrics & Gynecology — Case | Gynecologic Oncology | SMLE Q#12430
SMLE Question #12430
Obstetrics & Gynecology
Gynecologic Oncology
Last updated: February 2026
A 59-year-old postmenopausal woman has 3 months of early satiety, dyspepsia, unintentional 8-kg weight loss, progressive exertional dyspnea, increasing abdominal distension, and vague lower abdominal discomfort. She denies vaginal bleeding. Examination shows shifting dullness and decreased breath sounds at the right lung base. Pelvic examination reveals a firm, irregular adnexal mass. Transvaginal ultrasound shows a 12-cm complex irregular adnexal mass with a normal-sized uterus. What is the most likely diagnosis?
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