A 66-year-old woman comes in for a routine physical examination. She volunteers that her menopause occurred at age 51 years, and that she is currently taking an estrogen pill along with a progestin pill each day. The medical history is unremarkable. Her family history includes one maternal cousin with ovarian cancer. Physical Examination: On examination, she is found to have blood pressure 120/70 mm Hg, heart rate 70 bpm, and temperature 98°F. Her weight is 140lb and her height is 5ft 4 in.
The thyroid is normal to palpation. Breast examination reveals no masses or discharge. Abdominal, cardiac, and lung evaluations are within normal limits. Pelvic examination shows a normal multiparous cervix, a normal-size uterus, and no adnexal masses. She had undergone a mammogram 3 months previously. The patient states that she has regular Papanicolaou (Pap) smears, and that the last one performed…
