Ovarian cancer Quiz: Ace Your Exams
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A 59-year-old postmenopausal woman presents to her gynecologist with a 3-month history of increased abdominal girth, pelvic pressure, pelvic pain, anorexia, and fatigue. She does not have abdominal pain, vaginal bleeding, vaginal discharge, change in urination, or change in bowel habits. Her medical history is significant for hyperlipidemia and hypertension controlled with enalapril and lovastatin. Her family history is significant for a parent with colon cancer. Temperature is 37.2 °C (98.9 °F), heart rate is 74 beats per minute, respirations are 16/min, and blood pressure is 132/80 mmHg. Abdominal examination reveals distension and diffuse mild tenderness without rebound. A fluid wave and shifting dullness are present. Pelvic examination reveals a 10 cm fixed right sided irregular mass. Which of the following historical elements, if present, would be consistent with the most likely diagnosis?
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