Question

A 48-year-old G2P2 complains of progressively heavier and longer menstrual periods over the last year. Prior to this year the patient had normal periods. She denies any symptoms other than fatigue over the last few months. Physical examination is unremarkable except for the pelvic examination. The patient is noted to have an irregularly shaped 16-week size uterus. The patient's hematocrit is 28%. What is this patient's most likely diagnosis?

A. Endometrial hyperplasia
B. Endometrial carcinoma
C. Uterine fibroids
D. Uterine leiomyosarcoma
E. Adenomyosis

Answer 1

The patient's most likely diagnosis is uterine fibroids based on the symptoms and physical examination findings.

Step-by-step explanation:

The patient's most likely diagnosis based on the provided information is uterine fibroids. Uterine fibroids are benign masses of cells that can cause heavier and longer menstrual periods. The irregularly shaped 16-week size uterus observed during the pelvic examination is consistent with the presence of fibroids. The patient's hematocrit of 28% supports the possibility of excessive menstrual bleeding.