A 33-Year-Old Nulligravid Woman Comes to the Office for Evaluation

A 33-year-old nulligravid woman comes to the office for evaluation of infertility.  She has never been pregnant despite years of unprotected intercourse with her husband.  She also has a history of pelvic pain, which worsens with menses.  The pain has persisted despite medical therapy and is suspected to be due to endometriosis.  Exploratory laparoscopy is performed, and multiple flesh-colored nodules are present on the pelvic organs, along with thin, filmy adhesions.  In addition to having endometrial glands with hemosiderin pigment, one of the biopsies contains simple cuboidal epithelial cells.  Which of the following is the most likely site of the biopsy?

A) Cervix
B) Endometrium
C) Fallopian tube
D) Ovary
E) Peritoneum
F) Vagina

Correct Answer:

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