,HISTORY OF PRESENT ILLNESS: , Mrs. ABCD is a very nice 66-year-old woman who is followed in clinic by Dr. X for history of renal cell cancer, breast cancer, as well as ovarian cancer, which was initially diagnosed 10 years ago, but over the last several months has recurred and is now metastatic. 
,HISTORY OF PRESENT ILLNESS : , Mrs. ABCD is a very nice 66 - year - old woman who is followed in clinic by Dr. X for history of renal cell cancer , breast cancer , as well as ovarian cancer , which was initially diagnosed 10 years ago , but over the last several months has recurred and is now metastatic .