Solid in Obstetrics & Gynecology — 45yo Woman | Gynecologic Oncology | SMLE Q#16426
SMLE Question #16426
Obstetrics & Gynecology
Gynecologic Oncology
Last updated: February 2026
A 45-year-old woman has 3 months of progressive abdominal distension, early satiety, bloating, and dull lower abdominal pain. Examination shows moderate ascites and decreased breath sounds at the right lung base. Bimanual pelvic examination reveals bilateral, poorly mobile adnexal masses. Transvaginal ultrasound shows bilateral complex ovarian masses with solid and cystic components. What is the most likely diagnosis?
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