The patient is a healthy 41 year old female, G2P2 Hispanic-American female who presents for a well examination. She has no active medical complaints, but is concerned about her risk of breast cancer as both her mother (age 63) and maternal first cousin (age 44) have been recently diagnosed with intraductal breast cancer. Additional risk factors include menarche age 10.5; first pregnancy age 33; she breast fed each of her infants for only four months each. The patient, reports a normal baseline mammogram at age 40, (report not available) and a history of fibrocystic breast disease. Physical exam reveals elevated blood pressure 134/74, increased body weight (BMI 27.5) with FH of hypertension, hyperlipidemia (father) and type 2 diabetes (mother).

Result of fasting glucose, blood :122

Result of HbA1c : 6.4

Result of Cholesterol : 239

Result of HDL :45

Result of LDL : 159

Result of Triglycerides: 40

Mammography. screening result is pending

Papanicolaous test: normal



What is the correct diagnosis for this patient?

Breast cancer
Cervical neoplasm
Diabetes mellitus type 2
Hyperlipidemia
Hypertension, primary (essential)
prediabetes