PREMENOPAUSAL PELVIC MASS

COMPLEX MASS

A   28-year-old woman   is  in  the emergency   department  complaining of  lower

abdominal   discomfort  the last    five    days.   She has no  history of  steroid

contraceptive   use.    A   year    ago,    her pelvic  exam    and Pap smear   were

negative.   Pelvic  exam    today   shows   a   7   cm, mobile, painless    right   adnexal

mass.   An  endovaginal sonogram    in  the emergency   department  confirms    a   7

cm, mobile, irregular   complex mass    with    prominent   calcifications.