Evidence based case report: Advice about mammography for a young woman with a family history of breast cancer

doi:10.1136/bmj.322.7293.1040

BMJ 2001;322:1040-1042 ( 28 April )

Clinical review

Evidence based case report

Advice about mammography for a young woman with a family history of breast cancer

Anneke Lucassen, consultant ^a, Eila Watson, senior research officer ^b, Diana Eccles, consultant ^a.

^a Wessex Regional Genetics Service, Princess Anne Hospital, Southampton SO16 5YA, ^b CRC Primary Care Education Research Group, Department of Primary Health Care, University of Oxford Institute of Health Sciences, Oxford OX3 7LG

Correspondence to: A Lucassen annekel@soton.ac.uk

The first 150 words of the full text of this article appear below.

A 35 year old woman with a family history of breast cancer was in need of advice. Her two sisters, aged 34 and 38, were healthyand not affected, but her mother had developed breast cancer atthe age of 48, and her mother's paternal aunt had developed itat 39 (figure). The sisters lived in different parts of the UnitedKingdom. Her elder sister had been told that this family historywas not important and that she would not need any screening untilshe was eligible for the national screening programme, whereasher younger sister had already had a mammogram and been told thatshe should have these yearly from the age of 35. The patient wasconfused and asked her general practitioner whether she shouldhave mammography. The general practitioner wrote to the localgenetics service for advice.

Table Removed (Available Only in the Full Text)

An area of confusion

Our experience with such enquiries suggested that the patient and her doctor were not alone in . . . [Full text of this article]

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