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Old 10-31-2011
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Microscope Ovarian dystrophic calcification with stromal papillary structures

A 79-year-old woman presents to your clinic with new onset ascites and abdominal discomfort. On pelvic exam, her right ovary is found to be palpable. A biopsy is performed, and it shows dystrophic calcification with papillary structures infiltrating the stroma. What additional finding is most likely in this patient?

A. Enlarged contralateral ovary
B. Hirsutism
C. Underlying gastric cancer
D. Elevated liver enzymes
E. Endometrial bleeding
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C. Underlying gastric cancer

i suspect krukenburg tumor
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Quote:
Originally Posted by miss patho View Post
C. Underlying gastric cancer

i suspect krukenburg tumor
i go for C too
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The correct answer is A.
This woman has a serous cystadenocarcinoma. Palpable ovaries in post-menopausal women should be considered cancerous until proven otherwise. The biopsy describes Psammoma bodies and invading papillary structures, two histopathologic characteristics of serous cystadenocarcinoma. Also, surface-derived ovarian tumors commonly seed the peritoneal cavity, causing malignant ascites.

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Quote:
Originally Posted by ricko335 View Post
The correct answer is A.
This woman has a serous cystadenocarcinoma. Palpable ovaries in post-menopausal women should be considered cancerous until proven otherwise. The biopsy describes Psammoma bodies and invading papillary structures, two histopathologic characteristics of serous cystadenocarcinoma. Also, surface-derived ovarian tumors commonly seed the peritoneal cavity, causing malignant ascites.

it was hard q on me

thanks for the explanation
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Quote:
Originally Posted by ricko335 View Post
The correct answer is A.
This woman has a serous cystadenocarcinoma. Palpable ovaries in post-menopausal women should be considered cancerous until proven otherwise. The biopsy describes Psammoma bodies and invading papillary structures, two histopathologic characteristics of serous cystadenocarcinoma. Also, surface-derived ovarian tumors commonly seed the peritoneal cavity, causing malignant ascites.

actually i am confused about something
like is the description or psammoma bodies is just dystrophic calcification??
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