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Breast Cancer High Risk Program

Breast Cancer High Risk Program at Upstate

纽约州立大学上州分校的乳腺癌高风险项目提供了先进的, comprehensive, 针对高危人群的个体化乳腺癌监测和预防.  Our clinical program is located within the Breast Care Center, on our Community Campus at Physician Office Building South, Suite 1D, 4800 Broad Road in Syracuse.

The program provides:

  • Comprehensive breast cancer risk assessment
  • Genetic counseling and testing
  • Regular clinical breast examinations
  • 乳房成像,包括超声、乳房x线摄影、断层合成和核磁共振成像
  • Medical and surgical options for reducing breast cancer risk

Is This Program Right for You?

所有女性都有患乳腺癌的风险,虽然很少,但男性也可能患乳腺癌. 面临高风险的个体可能需要考虑通过乳腺癌高风险项目进行筛查和预防的特殊选择. 如果你有以下任何一种情况,你患乳腺癌的风险可能会增加:

  • A strong family history of breast cancer. This may include:
    • Multiple relatives diagnosed with breast cancer
    • 女性亲属确诊为乳腺癌年龄小于50岁或确诊为双侧乳腺癌(双侧)
    • Male relatives diagnosed with breast cancer at any age
    • Relatives diagnosed with ovarian cancer
    • 德系犹太人背景,家族中有乳腺癌病史
  • 乳腺活检病理显示非典型细胞或小叶原位癌(LCIS)。
  • 一种已知的易患乳腺癌的基因突变(如BRCA突变), or mutations associated with Li-Fraumeni or Cowden Syndromes)
  • A history of chest radiation for treatment of lymphoma

What to Expect in the Program

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A Team Approach

乳房护理高危项目由Jayne Charlamb博士指导. Dr. Charlamb擅长良性乳腺疾病和乳腺癌风险管理,自2000年以来一直在Upstate乳腺护理中心工作. She is Board Certified in Internal Medicine, giving her a thorough understanding of the diagnosis, 对从健康到复杂疾病的成年人进行治疗和富有同情心的护理.

Importantly, 高风险项目团队还包括多名经验丰富的执业护士,他们在乳腺癌治疗和监测方面接受过特殊培训.

高风险项目的合作伙伴与多位专家在上州,为患者提供准备, rapid access to a broad range of breast cancer screening, diagnostic and treatment services whenever they are necessary. Specialists include breast surgeons, medical oncologists, radiation oncologists, radiologists and genetic counselors.

Through open communication and education, 高风险项目的团队成员成为乳腺癌风险增加妇女的健康伙伴, empowering them to live with reduced risk, less fear and more knowledge.

The First Visit

At your first visit, 一位专门研究乳腺癌风险和预防的医生将与你会面, take a complete history and perform a breast exam. 然后你和医生将讨论你患乳腺癌的风险和你控制这种风险的选择. 你们将一起设计一个个性化的乳腺癌筛查和预防方案.

Risk Assessment

多种因素决定了女性患乳腺癌的风险. Some can be changed, and some cannot. Factors considered include:

  • Age
  • Weight
  • Race
  • Family history of malignancy
  • Age at first menstrual period
  • Alcohol intake
  • Hormone use after menopause
  • History of breast biopsy
  • Age at first baby's birth
  • Breastfeeding history
  • Density of breast tissue
  • History of radiation to the chest area
  • Genetic testing results

As part of your High Risk Program visit, 你的医生会讨论这些因素是如何影响你的个人风险的,并会给你一个在不久的将来和你一生中患乳腺癌的个人风险的估计.

Screening and Diagnostic Studies

乳腺癌高危项目与妇女影像服务中心合作, conveniently located both on 推荐最近最火的赌博软件社区校园,以及位于锡拉丘兹哈里森中心550号的市中心乳房护理中心办公室.

我们的多学科乳腺癌专家团队将最新的医学和科学知识与最先进的筛查和诊断方法相结合, including Digital Mammography, Breast Tomosynthesis, Breast Ultrasound, and Breast MRI.

如果有任何放射检查的建议,他们将安排在同一天就诊. Some tests may be performed on the same day, 其他人可能需要安排在不同的日子,这取决于研究的可用性和保险的需要.

Prevention

As a patient in the High Risk Program, 您将获得详细的咨询,以减少患乳腺癌的风险,这样您就可以做出明智的护理决定. Breast cancer prevention options include:

  • Lifestyle choices: Regular exercise, 保持健康的体重、限制饮酒和母乳喂养是关键的预防策略. 其他饮食和生殖因素也可能发挥重要作用.
  • Medications: 现在有多种药物可以降低高风险女性患乳腺癌的风险. 这些药物包括他莫昔芬,雷洛昔芬和各种芳香酶抑制剂.
  • Surgery: 这是女性可能采取的最激进的方法来降低患乳腺癌的风险. 但手术并不是每个高危女性的正确选择, 这是一种显著降低乳腺癌风险的有效方法. 选择包括乳房切除(预防性乳房切除术)和卵巢切除(预防性卵巢切除术)。.

Follow-Up

常规随访预约通常每3到12个月安排一次,这取决于你的风险. Follow-up visits include a review of your risk management options, a clinical breast exam and appropriate breast imaging. 大多数例行随访预约都安排在接受过乳腺癌监测和预防专门培训的执业护士那里, 谁将与你的医生保持密切联系. 如果您的乳房健康出现任何问题或担忧,您将立即转介给您的内科乳房专家.

Participation in Research

As a patient in the Breast Cancer High Risk Program, 您可能有机会参加临床研究,以利用最新的高风险管理方案, 并帮助提高对乳腺癌风险和预防的认识. 请注意,自愿参加这样的研究是完全可选的,你可以在任何时候停止参与.
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