05-08-2005, 06:08 AM
Question 281
A 48-year-old white female presents to her primary care physician complaining of abdominal discomfort and a heavy, dragging feeling in her pelvis. Her history reveals months of early satiety. She reports weight loss, and it is noticed that her BMI has decreased from 48 to 45. A pelvic exam reveals a large, right-sided mass without adnexal tenderness. The patient is referred for examination by her gynecologist. Which finding would likely indicate that the mass is a mature teratoma?
A. Call-Exner bodies on biopsy
B. Findings on abdominal plain film studies
C. Hyperthyroidism with depressed TSH levels
D. Positive alpha-fetoprotein
E. Positive human chorionic gonadotropin
F. Signet ring cells on biopsy
A 48-year-old white female presents to her primary care physician complaining of abdominal discomfort and a heavy, dragging feeling in her pelvis. Her history reveals months of early satiety. She reports weight loss, and it is noticed that her BMI has decreased from 48 to 45. A pelvic exam reveals a large, right-sided mass without adnexal tenderness. The patient is referred for examination by her gynecologist. Which finding would likely indicate that the mass is a mature teratoma?
A. Call-Exner bodies on biopsy
B. Findings on abdominal plain film studies
C. Hyperthyroidism with depressed TSH levels
D. Positive alpha-fetoprotein
E. Positive human chorionic gonadotropin
F. Signet ring cells on biopsy