Purpose: To determine if a patient should be evaluated for a familial or hereditary cancer syndrome.			Citations with documentation. 27.01.02	Medal Project 2004. See disclaimer.
data	enter
Are you evaluating a patient with cancer? (Y or N)		:-):-):-)
Does/Has the patient?
• had the tumor diagnosed at an unusually early age? (Y or N)		:-):-):-)		1
• have multiple primary tumors arising simultaneously in the same organ? (Y or N)		:-):-):-)		1
• have bilateral primary tumors in a paired organ? (Y or N)		:-):-):-)		1
• have 2 or more different primary tumors? (Y or N)		:-):-):-)		1
• have a close relative with the same or a related tumor? (Y or N)		:-):-):-)		1
• belong to a family with a high rate of cancer? (Y or N)		:-):-):-)		1
• belong to a family known to have a specific genetic mutation or disorder? (Y or N)		:-):-):-)		1
• have a congenital anomaly or birth defect? (Y or N)		:-):-):-)		1
• have forebears from a genetic group with a high rate of hereditary disorders such as Ashkenazi Jews? (Y or N)		:-):-):-)		1
Was the patient adopted? (Y or N)		:-):-):-)		0
Is there some question about the patient's paternity? (Y or N)		:-):-):-)		0
Are there any surviving relatives available for testing? (Y or N)		:-):-):-)		0
Is the medical history supplied by relatives unreliable or incomplete? (Y or N)		:-):-):-)		0
Are the health records for family members incomplete or unreliable? (Y or N)		:-):-):-)		0
calculate	result
data complete?	Yes
evaluation appropriate?	Yes	:-):-):-)
number of indications for considering a familial or hereditary cancer syndrome	9	indications
number of features that may be problematic during the investigation	0	possible sources for problems