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High Risk Breast Cancer Program Many thanks to the family of Barbara A. Barlow for their support of this program. To schedule an appointment call 845.348.8507 | nyackhospital.org REV 5.15 845.348.8507 | nyackhospital.org 160 North Midland Avenue, Nyack, New York 10960 1 2 What is the High Risk Breast Cancer Program? The High Risk Breast Cancer Program is a comprehensive program for women at increased risk of developing breast cancer. Our team of breast care specialists can provide you and your family members with: Breast cancer risk assessment A breast exam by a breast care specialist Genetic counseling and testing A personalized screening and prevention plan Are You At Risk for Breast Cancer? If someone in your family has had breast cancer, it is natural to be concerned about your risk of developing it. Hereditary or genetic breast cancer accounts for approximately 5 to 10 percent of all breast cancers diagnosed. If you are identified to have a genetic predisposition to cancer, it may significantly affect your health care decisions. The High Risk Breast Cancer Program at Nyack Hospital can help you determine your risk of developing breast cancer, especially if someone in your family has been diagnosed with it. Our Risk Assessment Coordinator/Advanced Practice Registered Nurse can help guide you through the process with one-to-one consultations and provide you with information and guidance to help you make informed decisions about your health. The High Risk Cancer Program is a comprehensive program for women at increased risk of developing breast cancer. Who is At Risk? If you or a family member has a history of breast or ovarian cancer, the following guidelines can help you determine if you should consider an assessment: History of breast biopsy showing atypical hyperplasia or lobular carcinoma in-situ (LCIS) Breast cancer before age 50 Ovarian cancer at any age Bilateral breast cancer at any age Both breast cancer and ovarian cancer at any age in the same patient Male breast cancer at any age Ashkenazi Jewish ancestry with breast or ovarian cancer at any age A previously identified BRCA mutation Two or more breast cancers, one under age 50 Pancreatic cancer and breast or ovarian cancer in the same person on the same side of the family Genetic Counseling and Testing Although most breast cancers occur in women who do not have a family history of breast cancer, researchers have identified several genes that increase a person’s risk of developing breast and ovarian cancer. These breast-ovarian predisposition genes, known as BRCA genes, can be inherited from the mother’s or father’s side. Based on your family history of cancer, the option of genetic counseling and testing will be provided. You will meet with our High Risk Coordinator to discuss your family history of cancer, to learn about hereditary breast cancer, and to discuss whether or not genetic testing is indicated. 4 3 Risk Assessment Upon enrollment in the program, you will be asked to complete a detailed questionnaire containing questions about your family history and prior medical history.* You may enter the high risk program and have your risk assessed if you come to The Breast Center for your annual Screening mammograms. The information you provide will be reviewed by our risk assessment team to determine if you are at increased risk for developing breast cancer. Our breast care team is comprised of breast surgeons, breast imagers, pathologists, medical and radiation oncologists, nurse practitioners, physician assistants and medical geneticist. If you are determined to be at increased risk for breast cancer, you will meet with a member of our risk assessment team to help you understand how various factors influence your risk and to discuss your options for screening and prevention. If needed, you will receive a breast exam by a breast specialist. *All family and medical history information is privileged and confidential and will not be released without the written consent of the patient. Appointments For more information, contact our High Risk Coordinator at 845.348.8510. To schedule an appointment, please call The Breast Center at Nyack Hospital at 845.348.8507, Monday – Friday 9 am to 5 pm. The Breast Center at Nyack Hospital 160 North Midland Avenue Nyack, NY 10960 nyackhospital.org …you will meet with a member of our risk assessment team to help you understand how various factors influence your risk… 6 5 Screenings and Testing Our breast care specialist will discuss your options for cancer screenings and prevention. High-risk screenings or diagnostic testing may include: Clinical breast exam: a periodic physical examination by a breast care specialist. Digital Mammography: The Breast Center at Nyack Hospital utilizes GE Digital Mammography Systems. Digital mammography is the most advanced screening and diagnostic tool approved by the FDA for the detection of breast cancer. Breast Ultrasounds Breast MRI’s Breast Biopsies, as needed BRCA genetic analysis to check for hereditary breast cancer About Our Center The Breast Center at Nyack Hospital offers a full line of women’s health services: prevention, detection, diagnosis, treatment and support on-site at a single location. Distinguished physician specialists, state-of-the-art technology, and an understanding of what women need, all contribute to the high rate of satisfaction our patients experience. Accreditations National Consortium of Breast Centers National Accreditation Program for Breast Centers American College of Radiology, Breast Imaging Center of Excellence