Adnexal mass ddx

A 42-year-old woman is found to have an incidental adnexal mass on imaging that was performed for another reason. A family history of which of the following syndromes most strongly increases the risk that this mass is malignant?

1: Ataxia-telangiectasia syndrome
2: Cowden syndrome
3: Neurofibromatosis type 1
4: Lynch syndrome