Breast Services
Our High Risk and Genetic Evaluation Service is designed for women who are at a significantly increased risk for developing breast cancer or at risk for carrying the BRCA mutation.  Patients are eligible for this evaluation if they have one or more of the following risk factors: 

• You have been diagnosed with breast cancer under the age of 50 
• Two close relatives diagnosed with breast cancer before the age of 50
• A personal history of lobular carcinoma in situ (LCIS)
• A personal history of atypical cells on breast biopsy 
          o Atypical Ductal Hyperplasia (ADH)
          o Atypical Lobular Hyperplasia (ALH)
• A known BRCA gene mutation within your family
• You have had bilateral breast cancer 
• You have had ovarian cancer at any age 
• You or a family member have had breast and ovarian cancer 
• Have men in the family with breast cancer 
• Are of Ashkenazi Jewish descent and a family history of breast or ovarian cancer
• Prior radiation to the chest (i.e.: Hodgkin’s lymphoma)

Other High Risk Factors:

There are many factors other than the BRCA mutation that are important in determining someone’s lifetime risk for developing breast cancer. Recently, some have proven to be more important than others. We list many of these below. Please refer to our Breast Care High Risk Newsletter for a good summary of what factors are most important.


1. Age: The older you are, the greater the risk of developing breast cancer. Four out of five 
    breast cancers are diagnosed in women over fifty. 
2. A breast biopsy showing LCIS, ADH, ALH atypical changes (very important)
3. Increased mammographic density (very important)
4. Hormonal Exposure/Childbirth:  
          a. Early onset of Menses
          b. Late onset of Menopause
          c. Fewer or No children
          d. Late age at first childbirth
5. Obesity
6. Lack of physical exercise
7. Ashkenazi (Eastern European) Jewish heritage is a marker for increased risk for carrying 
    the BRCA mutation. 

Download Above Newsletter:  
“Breast Care High Risk Newsletter” 

Our High Risk Breast Evaluation

Our High-Risk Breast Evaluation provides an individualized assessment of risk and specific recommendations for prevention and surveillance to those women considered at high risk for breast cancer.

High Risk Consultation generally includes:

1. Review of your Personal and Family Medical History 
2. A breast examination 
3. Breast Cancer Risk Assessment 
4. Genetic evaluation, counseling and testing (if indicated)
5. Mammogram / Ultrasound / MRI review (if indicated) 
6. Recommendations for Screening and Surveillance 
7. Risk Reduction options 
8. A copy of our report mailed to your home and your physician

Am I High Risk?
NVBS is a division of Drs. Farr, Wampler, Henson, Williams, Dougherty, Brown, Ltd.