Cancer Causes Patient Recommendation

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Patient Profile – Cancer Causes Patient Recommendation
Mary
• She is a 64-yea-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 30s.
• 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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