HOMEWORK: PATIENT CASE STUDY PROFILES – CANCER CAUSES

Patient Profile – Cancer Causes

Patient Recommendation

Mary

· She is a 64 year-old woman in generally good health.

· She had her first child when she was 20.

· She entered menopause at the age of 58.

· She has been on hormone replacement therapy since entering menopause (for the past 6 years).

· She has gained some weight since menopause.

· Her mother had breast cancer diagnosed at age 37.

· She had her first period at 13.

Mary’s Recommendation:

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Paula

· She is 71 years of age, and currently has a urinary bladder tumor, with metastases in the ovaries and possible involvement of one lymph node.

· She had her first period at 13.

· Paula’s sister was diagnosed with breast cancer three years ago, then ovarian cancer two and a half years ago.

· Paula’s mother died of lung cancer.

· Two maternal uncles had pancreatic cancer.

· Her maternal aunt had myeloma.

· Her maternal grandmother has uterine cancer.

· Paula’s sister had genetic testing, and was found to have a BRCA1 mutation.

Paula’s Recommendation:

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June

· June is 58 years old.

· She has been having “regular” mammograms (at two to three year intervals).

· Her first period was at age 13.

· She has had two pregnancies, resulting in two children, the first of which was at age 27.

· She experienced menopause at age 51. She did not take hormone replacement therapy (HRT), but she used oral contraceptives for a total of four years in the past.

· She has high blood pressure and high cholesterol. She has low levels of thyroid hormones.

· She also has “weak bones.”

· Her maternal aunt died of breast cancer in her 30’s.

· Her mother died of a brain tumor at age 39.

· Her father is alive and well at age 84.

June’s Recommendation:

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Nora

· She is a 51-year-old, pre-menopausal woman.

· Her last bilateral mammogram showed no evidence of a mass.

· She had her first period at the age of 13.

· She has had two pregnancies, each resulting in the birth of a child, the first of which was at age 32.

· She used oral contraceptives for six years.

· She has not taken any hormone-replacement therapy (HRT).

· She smoked until age 26.

· She consumes between 1 and 4 alcoholic drinks per week.

· Her mother had breast cancer at 48 years of age, and now has lymphoma (at age 72).

· Her maternal grandmother had breast cancer at age 47, and died of lung cancer.

· Her paternal first cousin presently has breast cancer.

· Her paternal aunt died “at a young age” from breast cancer.

· Her father was of Ashkenazi Jewish heritage, and died of colon cancer at 66 years of age.

Nora’s Recommendation:

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