Background: Cancer is a nonselective disease. Cancer can occur at any age, and although treatments have been improved, cancer still can be a deadly disease. Some cancer is linked to environmental caus

Patient Profiles – Cancer Risks / Causes

Week 8 Assignment

Date: Click or tap here to enter text.

Name: Click or tap here to enter text.

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: Click or tap here to enter text.
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: Click or tap here to enter text.
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: Click or tap here to enter text.
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: Click or tap here to enter text.

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:

Click or tap here to enter text.

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:

Click or tap here to enter text.

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:

Click or tap here to enter text.

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:

Click or tap here to enter text.