Second Opinion of a Breast Cancer Diagnosis
Cancer Genetics Program
Breast Surgical Oncology at Beth Israel Brooklyn
Services for High Risk Women
Physicians and Other Staff
Research and Clinical Trails
Some women are at higher risk for breast cancer than others, and for those women, frequent surveillance and very early detection can save their lives. Today we have more sophisticated ways than ever before to monitor high-risk women closely and carefully, and Continuum Cancer Centers of New York are at the forefront of breast cancer surveillance and intervention technology. Some of the comprehensive services and technological advances we offer to high-risk women include:
- GAIL computer model risk assessment, the latest analysis tool to measure risk for invasive breast cancer over time. The calculated score can then be used to guide further strategies.
- Genetic risk evaluation, which includes a thorough evaluation of your personal and/or family history of cancer, performed by genetic counselors, and BRCA1 and BRCA2 gene detection, when appropriate.
- Screenings, including clinical breast exams and mammograms, but with a custom-tailored schedule for women at high risk—for example, at younger ages and/or more frequently.
- A wide range of imaging procedures such as breast-specific gamma imaging (BSGI), sonography or MRI that allow clinicians to better visualize dense breasts.
- Ductal lavage, a minimally invasive procedure that collects cells from the milk ducts where breast cancer usually begins. The existence of atypical cells guides decisions about further surveillance or intervention.
- Ductoscopy, a closer visual examination of the milk ducts. If an abnormality is visualized, the specific area will be biopsied.
- Preventive medication therapies, such as tamoxifen, which have been found to be effective in some high-risk women.
- Preventive surgical interventions such as removing the breasts before breast cancer is ever diagnosed. Some women may choose instead to have their ovaries removed, which reduces the risk for breast cancer by 50 percent and makes breasts less dense, thereby increasing the accuracy of mammography.
- Psychosocial support services to help women sort through the decisions and the emotional consequences.
- Outreach to all women in the community, including education and screening programs, and efforts to eliminate barriers to care.
- Wellness programs, which lessen possible controllable risks, such as stress management, and diet and exercise counseling.
- A complete range of cutting-edge diagnostic methods to follow up on certain screening results, such as fine needle aspiration, ultrasound-guided core biopsies, stereotactic core biopsies, and sentinel lymph node biopsies.