Solid Components in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#18558

SMLE Question #18558

Obstetrics & Gynecology General Gynecology

Objective: OBJ-OBG-GYN-001

Last updated: February 2026
A 72-year-old postmenopausal woman has 3 months of progressive abdominal distension, early satiety, and mild exertional dyspnea. Examination shows ascites and a right-sided pleural effusion. Pelvic ultrasound shows moderate ascites and a 7.5-cm complex right adnexal mass with solid components. Thoracentesis cytology shows malignant cells. What is the most likely primary site of malignancy?

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