A patient aged 20 years visited the hospital complaining of abdominal pain, pelvic pain and back pain which had increasingly worsened over time. Some of the other symptoms she exhibited were fatigue, bloating and indigestion. Her medical history indicated that she was a healthy athletic female, had regular menstrual cycle and she received gynecological check ups on an yearly basis since she was 18 years old.

She also mentioned that she had been taking oral contraceptives and practiced safe sex. Her diet was exceptionally good although she took alcohol on a number of occasions. Further digging on her family medical history indicated that her mother was a survivor of breast and ovarian cancer.

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