A married 40 years old parents !

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A married 40 years old presents to your office for a routine exam. This patient has been married for 20 years and is very happy being a good mom. She is healthy and denies any medical problems except migraine headaches that are sometimes exacerbated by her menses. She reports that all her pregnancies were uncomplicated. She drink a little alcohol and smoke occasionally. Her menses are regular and with no problems.When questioned about her family history, she states that she thinks her grandmother was diagnosed with ovarian cancer when she was in her 50s. She denies a family history of other cancers or medical diseases. After placement of the speculum, you note a clear cyst approximately 2.5 cm in size on the anterior lateral wall of the vagina on the right side. The cyst is nontender and does not cause the patient any dyspareunia or discomfort.