High-Risk Breast Cancer Program

If your personal history or family medical history suggests you may have an elevated risk of breast cancer, our specialists in the high-risk program at Hackensack University Medical Center in New Jersey offer risk assessment and genetic testing for genes (such as BRCA1 and BRCA2) and other factors that may increase breast cancer risk. They tailor a program of follow-up and support that meets your needs and those of your family.

Imaging and Radiology


All of our Radiology Department’s imaging procedures are performed using state-of-the-art equipment that is subject to stringent regulatory standards.

Screening and Prevention Programs

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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Breast Surgery

Your breast surgeon tailors your operation to your specific needs, working with you to choose the optimal approach based on your specific tumor, as well as your personal preferences, breast size, and other factors.

The First Step in Treatment

Genetic Counseling and Testing

Patients with a family history of breast cancer or other diseases that may increase their risk of breast cancer may wish to consider genetic counseling and testing as part of their risk assessment.

Evaluate Your Risk

Survivorship Services

At Hackensack University Medical Center, we offer a suite of services for survivors of breast cancer which promote your physical and emotional health as you return to a life after cancer treatment.

Returning You to Your Life

Support and Advocacy

Gain access to a wide range of psychosocial support services that will help you and your family better cope with breast cancer.

Share Your Experiences