High Risk -- Prevention Consultation

Some women are at increased risk for breast cancer due to factors such as their family history. The focus of the prevention program is to help patients understand their personal risk of breast cancer and to explore the available options for reducing risk, early detection and increased surveillance.

When you visit the Breast Care Center, you will have a risk assessment consultation with a breast cancer specialist which will include:
  • Gathering personal and family health history information
  • Calculating the short and long-term breast cancer risk
  • Performing a clinical breast examination
  • Discuss screening recommendations including digital mammography, ultrasound and MRI
  • Give lifestyle strategies to reduce risk
  • Review prevention options and clinical trials
  • Discuss the need for and perform genetic testing if appropriate
Who should be evaluated?
  • Anyone concerned about their risk of developing breast cancer
  • Anyone at increased risk of breast cancer
Who is at increased risk of breast cancer?

Major risk factors:
  • inherited genetic mutations (BRACA1 and BRCA2) or a mutation present in the family
  • First degree relative with a cancer diagnosis under the age of 60
  • Chest radiation before the age of 30
  • Precancerous biopsy findings such as epithelial hyperplasia or atypical ductal hyperplasia
  • Personal history of breast or ovarian cancer
  • Age greater than 60
Minor risk factors:
  • Long menstrual history (menstrual periods starting early and ending late in live)
  • Never having children
  • Having one's first child after the age of 30
  • Prolonged use of postmenopausal hormone replacement therapy
  • Postmenopausal obesity
  • Multiple second or third degree relatives with breast and/or ovarian cancer
  • Multiple breast biopsies
  • High breast tissue density (a mammographic measure of the amount of glandular tissue relative to the fatty tissue of the breast)