Snapshot A 68-year-old woman presents to her gynecologist with pelvic pain and discomfort. Her symptoms are associated with a bloated sensation with increased urinary frequency. She became menopausal at the age of 52. Pelvic examination is notable for an adenxal mass. CA-125 levels are elevated. A transvaginal ultrasound demonstrates an ovarian mass concerning for malignancy. Preparations are made for surgical resection to establish a tissue diagnosis. Introduction Overview login to view 1 more bullet Epidemiology Incidence login to view 3 more bullets Risk factors login to view 9 more bullets Protective factors login to view 4 more bullets ETIOLOGY Associated conditions login to view 2 more bullets Presentation Symptoms login to view 5 more bullets Physical exam login to view 2 more bullets Imaging Pelvic ultrasound (e.g., transvaginal or transabdominal ultrasound) login to view 12 more bullets Studies Serum labs login to view 6 more bullets Ovarian biopsy login to view 60 more bullets Differential Leiomyoma login to view 2 more bullets Treatment Ovarian cancer login to view 2 more bullets