High-Risk Breast Clinic FAQs
Q. What is considered high risk for breast cancer?
You may be considered high risk if you have:
- A strong family history of breast or ovarian cancer
- A known genetic mutation such as BRCA1 or BRCA2
- A first-degree relative diagnosed with breast cancer before age 50
- A personal history of atypical hyperplasia or lobular carcinoma in situ (LCIS)
- Multiple relatives with breast, ovarian, or male breast cancer
A formal breast cancer risk assessment can determine your individual level of risk.
Q. How is breast cancer risk calculated?
Breast cancer risk is calculated using validated risk models that consider:
- Personal medical history
- Family history of cancer
- Age
- Reproductive history
- Prior breast biopsy findings
Genetic testing may also be recommended if hereditary risk is suspected.
Q. Should I get genetic testing for breast cancer?
Genetic testing may be recommended if you have:
- Early-onset breast cancer in your family
- Ovarian cancer in the family
- Male breast cancer in the family
- Multiple relatives with breast cancer
- Known hereditary cancer mutations
Genetic counseling is provided before and after testing to help you understand results and next steps.
Q. What is high-risk breast monitoring?
High-risk breast monitoring involves enhanced screening to detect cancer early. This may include:
- Annual clinical breast exams
- 3D mammography
- Breast MRI
- Breast ultrasound (when needed)
Women at increased risk often begin screening earlier and may alternate mammography and MRI every six months.
Q. Can breast cancer be prevented?
While breast cancer cannot always be prevented, risk can sometimes be reduced through:
- Lifestyle modifications
- Risk-reducing medications
- Preventive (prophylactic) mastectomy
Your care team will review the benefits and risks of each option to help you make an informed decision.
Q. What is a preventive mastectomy?
A preventive (prophylactic) mastectomy is surgery to remove breast tissue in order to significantly reduce the risk of developing breast cancer.
This option may be considered for women with very high genetic risk. Modern techniques include nipple-sparing approaches, hidden-scar procedures, aesthetic flat closure, and reconstruction options.
Q. Do I need a referral to be seen in the High-Risk Breast Clinic?
In many cases, a referral is helpful but not always required. Our team can guide you through scheduling and insurance questions.
Q. When should I schedule a breast cancer risk assessment?
If you are concerned about your family history or biopsy results, or simply want clarity about your personal risk, scheduling an evaluation is appropriate at any time.
