17th June 2021

A 54-year-old lady presents to the clinic with a lower abdominal fullness

A 54-year-old lady presents to the clinic with a lower abdominal fullness that has developed over the past year. She reports being informed of an ovarian mass when she was pregnant with her third child at the age of 35.

Which THREE of the following features of history and physical examination would be concerning for an ovarian mass? Select THREE options only.