"It was the best decision I ever made. My care here was the best I could have had, and I loved that…as much as you can love being treated for cancer, of course!"
— Mary Brookhart

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High Risk Clinic

See our High Risk Assessment Team and Genetics Counseling Section for more details.

The high risk cancer assessment team at the Emory Breast Center provides comprehensive screening and education for patients at increased risk for breast and ovarian cancer.

A visit to our High Risk Assessment Clinic is a comprehensive consultation. Your consultation will include visits with a genetic counselor and breast surgical oncologist. Additional consultations may be scheduled with a breast medical oncologist, gynecological oncologist or other specialists. Breast imaging can be scheduled in conjunction with your consultations. At the conclusion of your visit, you will have an individualized care plan that includes recommendations for regular screening and risk reduction including medical and surgical options. We welcome and encourage patients who visit our high risk assessment clinic to bring along a friend or family member.

How can I determine if I am at high risk?

1. Do you have a family or personal history of any of the following:

• Breast Cancer before age 50?

• Breast cancer in two or more close relatives*?

• Breast cancer in male relative?

• Breast cancer in both breasts or twice in the same breast?

• Breast cancer and Ashkenazi, or Eastern European Jewish, ancestry?

• Ovarian cancer at any age?

2. Do you have a family member who has a known mutation in BRCA1, BRCA2 or another breast cancer susceptibility gene?

3. Do you have a BRCA1 or BRCA2 gene mutation?

4. Do you have a history of biopsy-proven atypical ductal hyperplasia (ADH), atypical lobular hyperplasia (ALH) or lobular carcinoma in situ (LCIS)?

5. Have you had chest wall radiation (for example, in treatment for Hodgkin’s disease) between ages 10 and 30?

6. Are you 35 years of age or older with a modified Gail 5-year risk for invasive breast cancer > 1.7%? (To determine your Gail risk please use the National Cancer Institute Breast Cancer Risk Assessment Tool.)

*Definition of close relatives: mother, father, sister, brother, daughter, son, aunt, uncle, grandmother, grandfather, granddaughter, grandson, niece, nephew, half-brother, and half-sister.

If you answered Yes to any of the above questions, You may be at a high risk for Breast Cancer. To inquire about our High Risk Assessment Clinic call (404) 778-PINK (7465) and select option #3.

To inquire about our High Risk Assessment Clinic call (404) 778-PINK (7465).

High Risk Assessment Team

Surgical Oncology
Sheryl G.A. Gabram, MD
Toncred Marya Styblo, MD

Genetic Counselors
Christine Stanislaw, MS, CGC

Medical Oncology
Kandra Horne, NP

Gynecologic Oncology
Lisa Flowers, MD
Namita Khanna, MD

Genetic Counseling and Testing

A genetic counseling visit includes a review of family history, personalized risk assessment and discussion of surveillance and genetic testing options.

Approximately five to 10 percent of breast cancer cases are hereditary, or due to gene mutations that can be passed down in a family. The two genes most commonly associated with hereditary breast cancer are BRCA1 and BRCA2 (BReast CAncer genes 1 and 2).

The function of these genes is to help keep breast cells growing normally. Mutations (changes or alterations) in BRCA1 and BRCA2 are associated with an increased risk of developing breast cancer, including early onset breast cancer. BRCA1 and BRCA2 mutations also increase the risk for ovarian cancer in women and male breast cancer and early-onset prostate cancer in men.

For more information on genetics, please visit the Emory Department of Human Genetics.