Which of the following would have a hereditary risk for ovarian cancer?
A. Patient with a mother and aunt diagnosed with breast cancer
B. Patient with two cousins diagnosed with ovarian cancer
C. Patient with a mother with breast cancer and sister with ovarian cancer
D. Patient with a grandmother and cousin diagnosed with cervical cancer
C. Patient with a mother with breast cancer and sister with ovarian cancer would be correct because patients with more than two first-degree relatives with breast or ovarian cancer would be at an increased risk for developing ovarian cancer.
The other options are incorrect because although relatives with cancer based on the genetics the risk of cancer for the patient is no greater in these scenarios.
An older woman presents to your pharmacy asking "What else can I take for this indigestion and cramps? She adds "Nothing I have taken seems to be work and this has been going on for months now." What is the most appropriate way for you to respond?
A. Recommend she continue taking the antacid and improve her diet.
B. Recommend she switch to proton pump inhibitor for one week and if she has no improvement, see her doctor.
C. Suggest she seek medical attention because her abdominal discomfort has been a persistent problem.
D. Tell the patient she probably has ovarian cancer and should see gynecologic oncologist immediately.
C. Suggest she seek medical attention because her abdominal discomfort has been a persistent problem. Ovarian cancer is known as the "silent killer" and often presents with these GI-like symptoms.
A is incorrect because this has been persistent problem, OTC products alone do not appear to be helping to resolve.
B is also OTC so likely patient already tried.
D is wrong because we do not have enough information to confirm this patient has ovarian cancer and would never want to jump to conclusions about a cancer diagnosis.
A 26-year-old woman presents to your clinic with concerns about her risk of ovarian cancer. She wants to know what will minimize her risk of ovarian cancer. Which of the following would be the best option for a premenopausal woman with no family history of cancer to prevent ovarian cancer?
A. Regular annual pelvic examination