Who May Wish to Seek Assessment about Breast Cancer Risk?
You might want to make an appointment to discuss your breast cancer risk if you:
- Have two first-degree relatives who were diagnosed with breast cancer (first-degree includes a mother, sister or daughter, as well as a father, brother or son with male breast cancer)
- Had an abnormal biopsy
- Have a family history of ovarian cancer or male breast cancer
- Were diagnosed with breast cancer before age 45
- Were diagnosed with two separate breast cancers
- Have a BRCA1 or BRCA2 gene mutation
- Have a blood relative with the BRCA1 or BRCA2 gene
- Are of Ashkenazi Jewish heritage
The C.A.R.E. Program for Women at High Risk of Breast Cancer
The Division of Breast Surgery’s Breast Cancer Assessment and Risk Evaluation (C.A.R.E.) program provides assessment, surveillance, and management for patients who have a higher risk of developing breast cancer due to:
- Breast disorders such as atypical ductal hyperplasia (ADH), atypical lobular hyperplasia (ALH), or lobular carcinoma in situ (LCIS)
- BRCA1 or BRCA2 genetic mutations
- Li-Fraumeni, Peutz-Jeghers, and Cowden syndromes
- Strong family history of premenopausal breast cancer in first-degree relatives
- History of radiation to the chest before age 30
We will tailor a screening and prevention program that meets your needs. We offer:
- Personalized Breast Imaging. If you learn you have an elevated risk of breast cancer, you may begin breast imaging, such as mammography and ultrasound, at a younger age than a woman at average risk of the disease. You may also have breast magnetic resonance imaging (MRI). At the Betty Torricelli Institute for Breast Care, part of Hackensack University Medical Center, we provide 3D mammography, breast ultrasound, and breast MRI. Your care team will tailor a screening program that considers your risk and meets your needs.
- Prophylactic Surgery. If you have a gene that raises your breast and ovarian cancer risk, such as one of the BRCA genes, you may discuss preventive surgery to reduce your risk. These procedures include prophylactic mastectomy (to remove the breasts before cancer develops) or prophylactic oophorectomy (to lower your risk of ovarian cancer by removing the ovaries). Our breast surgeons, plastic surgeons (for women interested in breast reconstruction), and gynecologic oncologists are highly experienced performing these procedures.
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The Genetics Service, a leader in clinical genetics in the metropolitan area for over 30 years, offers genetic services and testing for both children and adults. The goal is to provide patients with the important information they need through risk assessment evaluations, testing, management, and supportive counseling.