A 56 year old woman presents with worsening dyspnea and abdominal distention for 8 months.
Her medical history is unremarkable, while her menopause took place at 52 years of age. She has had 3 uneventful pregnancies.
A full blood count and chest x-ray show a hemoglobin level of 13 g/dl and a right sided pleural effusion respectively. A recent mammogram was normal.
Select Relevant Investigations
There is a large hypoechogenic homogenous mass (10x9 cm) arising from the right ovary. The uterus and left ovary appear normal. There is moderate ascites. No liver metastases or intra-abdominal lymphadenopathy is seen.