Ovarian mass (suspected malignancy) — MCCQE Part 1 MCQ

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ModeratePelvic PainOvarian mass (suspected malignancy)MCCQE Part 1

A 45-year-old postmenopausal woman has a 3cm complex adnexal mass (solid/cystic) on US. CA-125 mildly elevated at 55. Most appropriate next step?

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Correct answer: C — Refer for surgical assessment (oophorectomy/staging)

Complex mass + postmenopausal + elevated CA-125 = significant malignancy risk. SOGC: surgical assessment. FNA contraindicated (risk of seeding). OCP ineffective postmenopausally.

Reference: SOGC Adnexal Mass