Breast Surgery Treatments
High-Risk Breast Screening & Prevention
What Does It Mean to Be High Risk?
Some women carry a significantly higher lifetime risk of developing breast cancer due to:
Family history of breast or ovarian cancer
Genetic mutations such as BRCA1, BRCA2, PALB2 or TP53
Personal history of high-risk lesions (e.g. atypical ductal hyperplasia, lobular carcinoma in situ)
Previous radiation therapy to the chest before age 30 (e.g. Hodgkin lymphoma treatment)
These risk factors may not cause symptoms but significantly affect screening needs and prevention strategies. Risk can also be assessed using formal models such as the IBIS (Tyrer-Cuzick) or iPREVENT tools.
My Approach
I provide comprehensive high-risk breast screening and prevention pathways, with a focus on early detection, patient education, and informed decision-making.
Together, we will:
Conduct a detailed family history and risk assessment
Refer for genetic testing or counselling when indicated
Develop a personalised surveillance plan, which may include:
Annual breast MRI
Contrast enhanced Mammogram
Ultrasound
Discuss preventive strategies, such as:
Risk-reducing mastectomy (with or without reconstruction)
Lifestyle modification
Chemoprevention (e.g. tamoxifen in eligible patients)
I work closely with genetics teams and breast care nurses to ensure you feel informed, supported, and in control.
What to Expect
Initial risk assessment and review of family history
Imaging plan tailored to your level of risk and age
Genetic counselling/testing referral if appropriate
Discussion of preventive options — surgical and non-surgical
Ongoing follow-up and coordination with your GP and imaging providers
