27 yo female presents for ultrasonographic evaluation of palpable mass noted on routine gyn exam. No significant past medical history
5 cm left adnexal mass noted on bimanual exam during annual pap.
Negative urine HCG
Multiloculated, cystic mass in the left adnexa, with flow on doppler evaluation and predominantly anechoic cysts with thin septa.
Histology shows a single layer of mucin rich, non-ciliated columnar epithelium, no cytologic atypia.
The classic differential for complex adnexal mass is CHEETAH
Torsion of the ovary/Teratoma
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