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Previous Volume 351:2531-2538 December 9, 2004 Number 24 Next

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Presentation of Case

A 52-year-old woman visited her gynecologist because of a single episode of painless postmenopausal bleeding. Her last menstrual period had been more than one year previously. A pelvic ultrasonogram showed the endometrial stripe to be thickened, at 8 mm, and revealed a complex cystic mass, 12 cm in diameter, with a mural nodule in the right adnexa (Figure 1A). This finding was confirmed by computed tomographic (CT) scanning (Figure 1B). An endometrial-biopsy specimen revealed that the endometrium was normal.

View larger version (75K): [in this window] [in a new window]   Figure 1. Radiologic Studies. A pelvic ultrasonogram (Panel A) shows a large cystic mass in the right ovary with . . . [Full Text of this Article]

 
Differential Diagnosis

Pathological Discussion

Discussion of Management

Recommendations for This Patient

Anatomical Diagnosis

Source Information

From the Cancer Center, Department of Medicine, Division of Hematology–Oncology (R.T.P.), and the Departments of Radiology (D.S.) and Pathology (D.A.B.), Massachusetts General Hospital; and the Departments of Medicine (R.T.P.), Radiology (D.S.), and Pathology (D.A.B.), Harvard Medical School.

Related Letters:

Case 37-2004: Postmenopausal Bleeding and a Cystic Ovarian Mass
Price F. V., Penson R. T., Sahani D., Bell D. A.
Extract | Full Text | PDF  
N Engl J Med 2005; 352:1269-1270, Mar 24, 2005. Correspondence

This article has been cited by other articles:

• Price, F. V., Penson, R. T., Sahani, D., Bell, D. A. (2005). Case 37-2004: Postmenopausal Bleeding and a Cystic Ovarian Mass. NEJM 352: 1269-1270 [Full Text]