A woman presents to the clinic with a breast mass. The nurse reviewing this patient's history identifies which finding as indicating the highest risk of the mass being malignant?
1. The patient's father died of breast cancer.
2. The woman is Native American.
3. The woman's children were born when she was 22 and 27.
4. The woman is vegetarian.
1
Rationale 1: Breast cancer in a male relative increases a woman's risk of having breast cancer.
Rationale 2: Native American women have a lower risk for development of breast cancer than do Caucasian women.
Rationale 3: Not having children or having children after age 30 increases the risk.
Rationale 4: The risk of breast cancer is not higher among vegetarian women.
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