38yo F, G1P1 3mo increasing Abdominal distention and pain, r | Figure 1

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Case Summary

38yo F, G1P1 3mo increasing abdominal distention and pain, reflux with vomiting, sweats, PV bleeding. A 28x18x29 cm large cystic mass arising out of pelvis extending to upper abdomen displacing the abdominal organs posteriorly as well as bowel loops to the lateral and posterior aspects. The mass contains internal septations which are thick as well as thin. Query #cystadenoma or #cystadenocarcinoma arising from ?left ovary. CA 125 and 65 markers negative. Other tumor markers pending.