COMSAE CERTIFICATION EXAM
QUESTIONS AND VERIFIED ANSWERS 2026
▶ Which Ovarian Tumor?
-malignancy of trophoblastic tissue
-chorionic villi are NOT present.
-increased frequency of theca-lutein cysts
-Early Hematogenous spread to lungs.
-Tumor marker is hCG.. Answer: Choriocarcinoma
▶ Which Ovarian Tumor?
-Yellow, friable, solid masses
-Schiller-Duval bodies (resemble glomeruli)
-makes AFP. Answer: Yolk sac (endodermal sinus) tumor
▶ Which Tumor?
-2 or 3 germ layers.. Answer: Teratoma
▶ contains functional thyroid tissue
can present as hyperthyroidism.. Answer: Struma ovarii
▶ Which tumor?
-looks like bladder (contains urothelium)
-pale yellow-tan in color
-appears encapsulated
-coffee bean* nuclei on H&E staining.. Answer: Brenner Tumor
▶ What tumor?
-primary GI malignancy that metastasizes to the ovaries -> causing mucin
secreting signet cell adenocarcinoma
-signet cells. Answer: Krukenberg tumor
, ▶ What tumor?
-fallopian tube-like epithelium
-single cyst with flat lining. Answer: Serous Cystadenoma
▶ General ovarian cancer marker. Answer: CA-125
▶ What tumor?
-cystic and is from surface epithelium
-psammoma bodies
-risk factors include BRCA - 1 BRCA - 2 and HNPCC
-malignant clear invasion of cells in CT
-larger tumor with complicated cysts with thick shaggy lining. *. Answer:
Serous Cystadenocarcinoma
▶ What tumor?
-mucous, from surface epithelium
-multiocular cyst
-benign, intestine like tissue.. Answer: Mucinous Cystadenoma
▶ What tumor?
-pseudomyxoma peritonei (jelly belly - appendix). Answer: Mucinous
Cystadenocarcinoma
▶ What tumor?
-Meig's Triad ("answer to this card", ascites and hydrothorax)
-bundles of spindle shaped fibroblasts. Answer: Fibromas
▶ What tumor?
-secretes estrogen = precocious puberty in young kids & can cause
endometrial hyperplasia or carcinoma in adults
-Call-exner bodies (small follicles filled with eosinophilic secretions.)
QUESTIONS AND VERIFIED ANSWERS 2026
▶ Which Ovarian Tumor?
-malignancy of trophoblastic tissue
-chorionic villi are NOT present.
-increased frequency of theca-lutein cysts
-Early Hematogenous spread to lungs.
-Tumor marker is hCG.. Answer: Choriocarcinoma
▶ Which Ovarian Tumor?
-Yellow, friable, solid masses
-Schiller-Duval bodies (resemble glomeruli)
-makes AFP. Answer: Yolk sac (endodermal sinus) tumor
▶ Which Tumor?
-2 or 3 germ layers.. Answer: Teratoma
▶ contains functional thyroid tissue
can present as hyperthyroidism.. Answer: Struma ovarii
▶ Which tumor?
-looks like bladder (contains urothelium)
-pale yellow-tan in color
-appears encapsulated
-coffee bean* nuclei on H&E staining.. Answer: Brenner Tumor
▶ What tumor?
-primary GI malignancy that metastasizes to the ovaries -> causing mucin
secreting signet cell adenocarcinoma
-signet cells. Answer: Krukenberg tumor
, ▶ What tumor?
-fallopian tube-like epithelium
-single cyst with flat lining. Answer: Serous Cystadenoma
▶ General ovarian cancer marker. Answer: CA-125
▶ What tumor?
-cystic and is from surface epithelium
-psammoma bodies
-risk factors include BRCA - 1 BRCA - 2 and HNPCC
-malignant clear invasion of cells in CT
-larger tumor with complicated cysts with thick shaggy lining. *. Answer:
Serous Cystadenocarcinoma
▶ What tumor?
-mucous, from surface epithelium
-multiocular cyst
-benign, intestine like tissue.. Answer: Mucinous Cystadenoma
▶ What tumor?
-pseudomyxoma peritonei (jelly belly - appendix). Answer: Mucinous
Cystadenocarcinoma
▶ What tumor?
-Meig's Triad ("answer to this card", ascites and hydrothorax)
-bundles of spindle shaped fibroblasts. Answer: Fibromas
▶ What tumor?
-secretes estrogen = precocious puberty in young kids & can cause
endometrial hyperplasia or carcinoma in adults
-Call-exner bodies (small follicles filled with eosinophilic secretions.)
