ovary serous cystadenoma. Orange arrow shows remnant of ovar | Figure 1

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Ovary serous cystadenoma. Orange arrow shows remnant of ovary. Blue arrow shows fimbriated end of Fallopian tube.

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Coronal T2-W MRI of the pelvis shows a giant fluid-containing mass (yellow arrow) arising from the left ovary. The normal right ovary (red arrow) is also visible. At resection, this mass represented a benign serous cystadenoma. These masses, when smaller, can mimic a functional cyst. The best way to differentiate a cyst from serous cystadenoma is routine follow-up; serous cystadenomas persist. #TummyTuesday

Pathology of the mass from abdominal mass case. This is a cross section of the wall of the mass. The purple cells are ciliated simple columnar cells. No papillae or invasion seen. Abdominal wash was negative for any malignant cells. The mass that was drained contained 8L of clear fluid. Ddx?

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