# Young Female, BRCA Mutation, High Breast Cancer Risk

demographics:
  age: 32
  sex: female
  ethnicity: "Ashkenazi Jewish"
  education_level: 4  # college graduate
lifestyle:
  smoking_status: never
  alcohol_consumption: occasional
  exercise_frequency: "Regularly"
  diet: "Mediterranean diet"
female_specific:
  age_at_first_period: 12
  num_live_births: 1
  age_at_first_live_birth: 25
  hormone_therapy_use: "never"
family_history:
  - relative: mother
    cancer_type: breast
    age_at_diagnosis: 42
  - relative: maternal grandmother
    cancer_type: ovarian
    age_at_diagnosis: 60
personal_medical_history:
  previous_cancers: []
  chronic_conditions: []
  genetic_testing:
    - mutation: "BRCA1"
      status: "Positive"
      date: "2025-03-20"
current_concerns_or_symptoms: "No current symptoms, proactive health management, fertility counseling ongoing."
clinical_observations:
  - test_name: "Breast MRI"
    value: "No abnormalities detected"
    unit: "N/A"
    reference_range: "No abnormalities"
    date: "2025-05-01"
  - test_name: "CA-125"
    value: "15"
    unit: "U/mL"
    reference_range: "<35 U/mL"
    date: "2025-05-01"