High-Risk Breast Clinic
What is the High-Risk Breast Clinic?
The High-Risk Breast Clinic is a comprehensive program for women with an increased risk of
developing breast cancer. The team of breast care specialists includes breast surgeons,
radiologists, oncologists and nurse navigators.
The clinic can provide a personalized care plan that includes:
- Breast cancer risk assessment
- Breast exams by a breast care specialist
- Genetic risk assessment and testing
- Personalized screening and prevention options
Who may be at risk?
Personal and family history of cancer
- Having a mother, sister or daughter diagnosed with breast cancer, particularly before menopause.
- Two or more close relatives - such as aunts,
grandmothers or cousins - diagnosed with
breast cancer, especially at a young age.
- Diagnosis of ovarian cancer in
multiple family members.
- Combination of breast and ovarian cancer
occurring on the same side of the family.
- Breast cancer diagnosed in a male relative.
- A personal history of breast or ovarian cancer.
- History of breast biopsy showing atypical
hyperplasia or lobular carcinoma in-situ (LCIS).
Genetic risk assessment and testing
Although most breast cancers occur in women who
do not have a strong family history of breast cancer,
about 5-10 percent are hereditary. Researchers
have identified genes that increase a person’s risk of
developing breast and ovarian cancer. These breastovarian
predisposition genes, known as BRCA genes,
can be inherited from the mother’s or father’s side.
Based on your family history of cancer,
you may benefit from a genetic risk
assessment and genetic testing. We
will discuss this at your first visit.
How the clinic works
Start by calling 541-706-6729 and participating
in a phone interview with our high-risk manager.
If you are determined to be at increased
risk for breast cancer, and would like to
participate in the clinic, you will be enrolled.
Your first visit will be with one of the participating
breast surgeons who will review your history, answer
all of your questions and establish a care plan.
The clinic will help schedule and coordinate regular
clinical breast exams, radiology screening and
preventative measures including lifestyle education
and chemoprevention, based on your care plan.
Early diagnosis is key to the most successful treatment
Screening and techniques
Your brest care team will discuss options for cancer screening. High-risk screening may include:
- Annual digital mammography: Annual
mammography remains the standard for
breast screening. Both 2D and 3D imaging
may be used. 3D mammography is the newest
screening and diagnostic mammography tool
with improved breast cancer detection rates.
- Annual breast MRI: Annual MRI is recommended
by the American Cancer Society and the
American College of Radiology in women with a
20 percent or greater lifetime risk of developing
breast cancer. Often this will be staggered
every six months with a mammogram.
- Screening breast ultrasound: Screening
ultrasound can be used in addition to
mammography for some patients, particularly
those who cannot undergo MRI.