Box 1.

Example case study

Summary
Annabelle Bates, a White British woman, has come to see you today to ask about changing her contraception. She has been on the oral contraceptive pill for 3 years, but her mother was recently diagnosed with breast cancer. She would like to know whether she is at high risk of breast cancer.
Age: 32	DOB: 25/1/1990	Height: 1.63 m	Weight: 70 kg
Lifestyle Does not drink alcohol.
Women’s health Had her first period when she was aged 9 years. Began taking the oral contraceptive pill 3 years ago.
Children Has one child, Amy, who is aged 3 years.
Breast screening Has never had a mammogram.
Medical history Has no history of endometriosis. Has not had her tubes tied.
Family history
Mother: Annabelle’s mother is alive and is currently aged 48 years. She was diagnosed with breast cancer last year, aged 47. Her cancer was oestrogen receptor-positive, progesterone receptor-positive, and HER2- positive.
Father: Annabelle’s father, who is 47 years, is well and has no history of cancer.