Philipino lady, 46 YO, C/O Severe lower abdominal pain and intermittent bleeding. Sonography shows Lt. ovarian cyst 7 cm in diameter (not shown in photos). Frozen section shows a malignant growth. Total hysterectomy with bilateral salpingo-opherctomy was done. Histopathologic examination shows invasion of Lt. ovary by malignant mixed papillary and tubular growth with clear cells and focal hobe-nail pattern; bilateral ovarian endometriosis and cervical endometriosis.
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