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A 54-year-old woman was referred to the gynecologic oncology clinic of this hospital because of a pelvic mass. Several weeks earlier, urinary frequency, lower abdominal and pelvic pain, and a temperature of up to 37.7°C developed. She saw the nurse practitioner in the office of her primary care physician, who performed a pelvic examination that revealed a large central pelvic mass. Computed tomography (CT) of the abdomen several days later revealed a mixed solid and cystic pelvic mass, 14 by 12 cm, with moderate ascites. There were no omental implants or lymphadenopathy. She was referred to a surgeon in gynecologic
Differential Diagnosis
Dr. Neil S. Horowitz's Diagnosis
Pathological Discussion
Discussion of Management
Anatomical Diagnosis
Source Information
From the Gillette Center for Women's Cancers (C.N.K., M.R., N.S.H.), Gynecologic Oncology (N.S.H.), the Clinical Pharmacology Laboratory at the Massachusetts General Hospital Cancer Center (J.G.S.), and the Departments of Radiology (S.I.L.) and Pathology (E.O.), Massachusetts General Hospital; and the Departments of Medicine (C.N.K., J.G.S.), Obstetrics, Gynecology, and Reproductive Biology (N.S.H.), Radiology (S.I.L.), and Pathology (E.O.), Harvard Medical School.
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