The Rational Clinical Examination
David L. Simel, Drummond Rennie
Cancer, Family History
Harvey J. Murff, David R. Spigel, Sapna Syngal
Sections:
Clinical Scenario, Why Is It Important to Record an Accurate Family History of Cancer?, Methods, Results, Clinical Scenario—Resolution, The Bottom Line, References
Topics Discussed:
cancer, cancer genetics, family history
Excerpt:
"A 35-year-old woman presents for an initial visit and during the
medical interview mentions that her mother and grandmother had breast
cancer. She reports that her mother was diagnosed with cancer at
age 42 years, and she believes that her grandmother, on her mother's
side, was diagnosed in her 30s. Because of her family history, she
is concerned about her risk of developing breast cancer. Despite
having no symptoms of breast cancer, she wonders at what age she should
start having mammograms and whether she should have genetic testing...."
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