He sank back in his chair. “So far, so good. Just one more thing—have you a female relative with breast cancer?”
A cold, hard-pinched expression settled on her face. “Yes.”
“Your mother?”
She nodded.
He inhaled a deep breath. “Was your mother’s breast cancer pre-or post-menopausal?”
“Pre. She died at thirty-six.” Jacquelyn’s voice fell to a whisper. “I was sixteen.”
A flicker of apprehension coursed through him. This was not terribly serious; women whose mothers developed pre-menopausal breast cancer in one breast stood only one and a half times the risk of the general population.
“Your mother’s cancer—” he forced himself to maintain his professional tone “—unilateral or bilateral?”
“Both breasts were involved,” she said, uncertainty creeping into her expression. “She had a double mastectomy, but too late. The cancer had spread into her bones. It was hopeless.”
Jonah’s hand clenched beneath the table. First-degree relatives of bilateral, pre-menopausal breast cancer patients were at a nine-fold risk of developing the same disease. And daughters of women with breast cancer tended to develop their cancer at younger ages than did their mothers.
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