Breast Risk Assessment Clinic
Anyone with a personal or strong family history of breast or ovarian cancer may benefit from a cancer risk assessment, which may include obtaining a comprehensive family history, performing risk estimation and probability models, and genetic testing service. These counseling and testing services will help you better understand your personal risk of developing breast or ovarian cancer.
What is your risk for breast cancer?
Knowing if you are at risk of developing breast cancer is an essential part of your breast health. Discovering if risk factors are present is key to preventing or identifying the disease early.
For this reason, in addition to your mammogram, your breast health screening at the LMH Breast Center now includes administration of a family health questionnaire based on the National Comprehensive Cancer Network guidelines to help screen for breast and ovarian cancers that run in families.
What if your risk is high?
If your answers on the questionnaire indicate your may be at a higher risk for developing cancer, the Breast Risk Assessment Clinic provides comprehensive information, clinical services and support for you, your family and your health care provider. An initial Breast Risk Assessment screening appointment can be scheduled with our clinical coordinator, Roxy Johanning, MSN, APRN, NP-C, CRN, CBPN-IC, who is board certified as an Adult Nurse Practitioner. She provides collaborative care with Sharon Soule, MD, a medical oncologist.
Other options may include increased surveillance with Breast MRI and clinical breast examinations, in accordance with guidelines by the American Cancer Society, the American College of Radiology and the National Comprehensive Cancer Network, and medical management.
Breast Risk Assessment Screening
The National Cancer Institute has developed a breast cancer risk assessment tool to determine your individual five-year and lifetime risk of developing breast cancer. The American Cancer Society recommends risk tools used by professionals such as Tyrer-Cuzick, Claus and BRCAPRO. These assessment tools are based on statistical risk and probability models and provide you and your health care provider with information to develop your individualzed breast health care plan.
This appointment will involve:
- A detailed review of your family cancer history
- An assessment of cancer risks for you and your family
- Clinical breast examination, if needed
- A discussion of the pros and cons of genetic testing
- Supportive counselinig to help you to make the best decision for you and your family
Your initial visit will last approximately one hour. Results are not disclosed over the phone, therefore, a second visit to discuss results, recommendations and questions will be scheduled.
Deciding to pursue genetic testing is highly personal and requires serius consideration since the result may have implications for your entire family as well as yourself. We appreciate the concerns involved with genetic testing, and will work with you to help you make an informed decision.
Genetic tests are performed on a sample of cells from saliva from your mouth. The sample is sent to a specialized outside laboratory to look for specific changes in DNA. The laboratory reports the test results in writing. You will schedule an appointment at the Breast Risk Assessment Clinic to review the results and recommendations for your individualized breast health plan.
Clinical Breast Examination
Patients may request a physical examination of their breasts and lymph nodes. This will be performed by our clinical coordinator using the MammaCare Method. A clinical breast exam may be performed in conjunction with any of the Breast Risk Assessment Clinic services.
Other Breast Center services
The LMH Breast Center is accredited by the American College of Radiology. Services available include:
- Digital mammography (three locations: main LMH campus, LMH South, LMH West Imaging)
- Breast ultrasound
- Breast MRI
- Stereotactic-guided core biopsy
- Weekly Tumor Conference