A 28-year-old woman presents to the gynecology clinic with intermittent lower abdominal pain over the past three months. The pain is mild to moderate, non-radiating, and unrelated to her menstrual cycle. She denies nausea, vomiting, fever, abnormal vaginal bleeding, or weight loss. Physical examination: A soft, mildly tender mass is palpated in the lower abdomen, more pronounced on the left side. Bimanual pelvic examination confirms an adnexal mass without significant tenderness or signs of acute inflammation. Pelvic ultrasound: Reveals a well-circumscribed, heterogeneous ovarian mass with fat, fluid, teeth, and calcifications. Findings include a dermoid plug and Rokitansky nodule, consistent with a mature cystic teratoma (dermoid cyst). Tumor markers (CA-125, AFP, and LDH) are within normal limits, ruling out malignant transformation. What is the preferred management of this patient’s disorder?
