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Breast Cancer

What is a Breast Cancer Risk Assessment?

Posted: October 4, 2023

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By: Jennifer Lazzara, DNP, ARNP, CGRA

All women are at risk of developing breast cancer, which is why regular screening is important. Breast cancer screening usually includes yearly mammograms starting at age 40 in women who have no symptoms. The reason for mammogram screening is breast cancer that is found earlier can be treated more successfully. Some women are at higher risk of developing breast cancer and may need more frequent or additional breast screening in addition to mammograms. A Breast Cancer Risk Assessment can help identify women at higher risk.

An individual’s breast cancer risk depends on specific factors, including:

  • If you have a family history of certain types of cancer, like breast, ovarian and pancreatic cancers
  • If you’ve had radiation therapy to the chest between 10 and 30 years of age
  • If you’ve had previous breast biopsy that showed atypical ductal hyperplasia (ADH) or lobular neoplasia (lobular carcinoma in situ) or atypical lobular hyperplasia (ALH)
  • Genetic testing that suggests a genetic predisposition to breast, ovarian, or pancreatic cancer
  • If you have the BRCA1 or BRCA2 genes

A Breast Cancer Risk Assessment is performed in-office by a licensed health care provider. During your appointment, a provider will gather a detailed overview of your personal and family medical history (including the items mentioned above), lifestyle, reproductive history, and environmental exposures to determine your risk of developing cancer, the appropriate medical management, and if genetic testing is recommended to identify your cancer risk. Your assessment will categorize you as “average risk” or “increased risk” for developing breast cancer. Those found to be at an increased risk may consider starting mammogram screening at an earlier age, have additional breast cancer screening with breast MRI, initiate risk-reducing medications, and having genetic testing performed.

The National Comprehensive Cancer Network (NCCN) recommends that all individuals undergo a breast cancer risk assessment by the age of 25. If you have any of the risk factors listed above and are interested in a Breast Cancer Risk Assessment, please call Cancer Care Northwest at (509) 228-1000 to schedule an appointment.