Snapshot A 70-year-old woman presents with lower extremity edema and early satiety. She also reports pelvic discomfort. She underwent menopause at 50 years of age. Pelvic examination is notable for an adnexal mass. CA-125 levels are noted to be elevated with transvaginal ultrasound demonstrating an ovarian mass concerning for malignancy. Introduction Overview login to view 1 more bullet Epidemiology login to view 18 more bullets 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 Histology login to view 60 more bullets Differential Leiomyoma login to view 2 more bullets Treatment Ovarian cancer login to view 2 more bullets Complications Ascites Malignant pleural effusion Bowel obstruction Metastasis