HOMEWORK: PATIENT CASE STUDY PROFILES – CANCER CAUSES
Overview
Even though Tanya has the breast cancer gene, it does not necessarily mean she will ever develop breast cancer. However, she does have a chance. In this assignment, you are going evaluate the medical histories and breast cancer risks of Tanya’s friends, and estimate how they might reduce their risks. You will learn about the various risk factors, both genetic and lifestyle related, as well as prevention methods for breast cancer.
Instructions
For this assignment, you will use a
Patient Case Study Profile Form
to evaluate four patient profiles and their medical histories. Refer to the resources listed in the What You Need To Know section.
- Examine the four patient profiles and medical histories of Tanya’s friends (Mary, Paula, June, and Nora) with respect to their breast cancer risk.
- Use the various resources presented this week to help you analyze the cancer causes for each profile.
- Use the National Cancer Institute’s Breast Cancer Risk Assessment Risk Calculator Tool ( https://bcrisktool.cancer.gov/calculator.html )to estimate the patient’s risks of developing breast cancer.
- Provide recommendations for each patient profile as to how they might reduce their cancer risk.
- Enter your recommendations in the Patient Case Study Profile Form next to each patient profile.
- Submit your completed document in the assignment area of the courseroom. All assignments are due at end of the week, unless otherwise specified.
Patient Profiles – Cancer Risks / Causes
Week 8 Assignment
Date:
Click or tap here to enter text.
Name: Click or tap here to enter text.
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Patient Profile – Cancer Causes |
Patient Recommendation |
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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: Click or tap here to enter text. |
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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: Click or tap here to enter text. |
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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: Click or tap here to enter text. |
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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: Click or tap here to enter text. |
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