A 26-Year-Old Woman's Lower Stomach Pain Is Being Assessed

A 26-year-old woman's lower stomach pain is being assessed. For moderate intermittent asthma and migraines without an aura, medical history is important. She has never given birth. The patient and her spouse engage in sexual activity and use condoms to prevent pregnancy. She does not use smoke or illegal substances; she only consumes alcohol in social settings. Her grandpa passed away from colon cancer at the age of 77, and her mother was 52 when she received a breast cancer diagnosis. 30 kg/m² is the BMI. An abdominal ultrasound identifies a right-sided adnexal tumor that is later surgically removed via laparoscopy. The picture below displays histologic results. Which of the following is the most likely diagnosis?

A) Ectopic pregnancy
B) Endometriosis
C) High-grade serous ovarian carcinoma
D) Mature teratoma
E) Polycystic ovary syndrome

Correct Answer:

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