A 48-year-old woman has noted a small amount of irregular vaginal bleeding for the past 2 months. She has a pelvic examination that reveals no cervical lesions, and a Pap smear that shows no abnormal cells. Next, an endometrial biopsy is performed, and there is microscopic evidence for endometrial hyperplasia. An abdominal ultrasound reveals a solid right ovarian mass. Which of the following neoplasms is this woman is most likely to have?

Question

Quizplus · Accepted Answer

Fibrothecoma is an ovarian tumor that can produce estrogen, leading to endometrial hyperplasia and irregular vaginal bleeding, which matches the clinical presentation.

A 48-Year-Old Woman Has Noted a Small Amount of Irregular