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A 40-year-old nulliparous woman with no significant medical history presents to your office with shortness of breath and increased abdominal girth over the past month. The initial assessment demonstrates that the patient has a right-sided hydrothorax, ascites, and a large ovarian mass. Surgery is performed to remove the ovarian mass, and the patient's ascites and pleural effusion resolve promptly. What is the most likely diagnosis?
Metastatic colon cancer
Metastatic lung cancer
Metastatic ovarian cancer
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A 52-year-old patient undergoes a biopsy of the ovary, with the results shown in Figure A. Which of the following additional findings would you most expect to see in this patient?
Increased CA 19-9 tumor marker