Here are two case studies to emphasize the necessity of evaluating a cancer family history when determining medical management for your patients:

Case #1

Case #2

Patient #1

Patient Information:

40-Year-Old Female
G2 P2
Childbearing Complete
Patient #2

Patient Information:

40-Year-Old Female
G2 P2
Childbearing Complete
Visit Type #1

Visit Type:

Problem visit - irregular heavy bleeding
Visit Type #2

Visit Type:

Contraception Consult
Visit Notes #1

Visit Notes:

NO prior history of bleeding problems

Bleeding is impacting the patient's life and she wants medical intervention
Visit Notes #2

Visit Notes:

Patient desires permanent sterilization
Recommended Management #1

Recommended Management:

Common recommendations may include:
  • Oral contraceptives
  • Mirena® IUD
  • Hysteroscopic removal of fibroids or polyp
  • Ablation
  • Hysterectomy, total or subtotal
Recommended Management #2

Recommended Management:

Common recommendations may include:
  • Tubal occlusion (Essure®)
  • Tubal ligation
  • Vasectomy (for partner)
Consider the patient's cancer family history:
Patient Cancer Family History
RELATIVECANCER SITEAGE OF Dx
FatherColon48
Paternal UncleColon58

REVISED Recommended Management:

What if hereditary cancer was the cause?
Consider the patient's cancer family history:
Patient Cancer Family History
RELATIVECANCER SITEAGE OF Dx
MotherBreast55
Paternal AuntBreast45

REVISED Recommended Management:

What if hereditary cancer was the cause?