Which client is at highest risk for the development of esophageal cancer?
A. 45-year-old Asian American man who consumes pickled foods
B. 23-year-old white woman who is taking oral contraceptives
C. 60-year-old Scandinavian American woman with breast cancer
D. 72-year-old Native American man with diabetes mellitus
A
Esophageal cancers are highest in African Americans, in people from certain areas of China, Ja-pan, and the Caspian Sea, and in people from Africa. The disease also is associated with inges-tion of pickled foods, which have high levels of nitrosamines.
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