These are always popular. This is a case of a middle-aged woman who died of sudden cardiac death related to supermorbid obesity. As an incidental fining, there was a 14.5 cm adnexal mass:
On cut surface, it was a thin-walled generally simple cyst filles with greasy debris, bur with a small basilaar nodule that contained hair and cartilage:
On histologic examination, there was benign-appearing cartilage, squamous epithelium, cartilage, respiratory-like epithelium, and mucous/sebaceous glands:
