Patient concerned about cancer runs rampant in family


Problem: Jill, a 40-year-old costume designer, is concerned about the cancer that runs rampant in her family. Her father, Thomas, has been diagnosed with prostate cancer, and Jill is considering having a prophylactic oophorectomy. Her mother, Evelyn, died of ovarian cancer 30 years ago. Jill believes that breast and ovarian cancer can run in a family, and she would consider both having her breasts and ovaries removed to live to watch her children grow old. Jill and her partner Dan have two daughters, but they have two healthy half-brothers from their father's first marriage. Jill knows little about her mother's cancer treatment and her mother's history, including her brother Clark, who died from stomach cancer, and her mother Janis, who died of brain cancer. Jill's father, Thomas, is a retired attorney with two healthy daughters and a son and daughter. Thomas grew up in Alaska and is of Native American ancestry Who is the proband 2) What the inheritance pattern is (if there is) 3) What further three questions would be asked 4) What is the likely disorder 5) Develop the plan of care requirement if you are the NP. Be specific on a few steps that are required.

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