Duke Breast Risk Assessment Clinic

Duke Breast Risk Assessment Clinic
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Duke Breast Risk Assessment Clinic

Type: Specialty Clinic

Duke breast experts perform breast risk assessments on women who are at increased risk for breast cancer due to a genetic mutation, family history of breast cancer, or individual risk factors so that we can identify breast cancer early and possibly prevent it. We also provide general breast cancer risk assessments and counsel women on how to manage their risk.

Our goal is to create a personalized breast care plan that includes ongoing breast cancer screening, exams, and referral to other specialists as needed. This is important as each individual has different needs. A woman with a family history or other risk factors for breast cancer should be evaluated and managed differently than a woman whose breast cancer risk is influenced by environmental or lifestyle risk factors, such as taking hormone replacement therapy or a sedentary lifestyle.

During your first visit to the Breast Risk Assessment Clinic, you may meet with our nurse practitioner or breast doctor. You will undergo a comprehensive evaluation and personalized risk assessment. They will recommend the most appropriate breast imaging and any referrals that are indicated for your individual concerns. Breast imaging options may include:

  • Screening and diagnostic mammography, including 3D mammography (also known as tomosynthesis)
  • Breast ultrasound
  • Breast MRI

Often, breast imaging and examinations can be performed on the same day, to maximize your convenience.

If you are found to be at average risk, you may be given a schedule for routine screening under the care of your primary care doctor. If an abnormality is identified, you may be referred to a breast specialists at our breast cancer clinic for additional testing and management.

If you have a genetic predisposition to breast cancer, or one is suspected, you may also benefit from the close relationship our breast specialists have with the genetic counselors in Duke’s Hereditary Cancer Clinic. We can help arrange for you to undergo genetic counseling and testing, if appropriate.