CASE 110
History: A 35-year-old patient presents for baseline ultrasound assessment for infertility.
1. What should be included in the differential diagnosis based on ultrasound and MRI (Figures A to C)? (Choose all that apply.)
A. Endometrioma
B. Hypoechoic solid ovarian mass with shadowing, a sex cord-stromal tumor
D. Pedunculated fibroid tumor of the uterus
2. Which subtype of this tumor is more likely to be malignant?
A. Granulosa-stromal cell type
A. Microfollicular and macrofollicular patterns (rosettelike) that are seen with Leydig cells when viewed cytologically
B. Microfollicular and macrofollicular patterns (rosettelike) that are seen with granulosa cells when viewed cytologically
C. Rosettelike patterns that are seen in all hormonally active ovarian tumors
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