Breast Cancer Risk Assessment

With breast cancer being the second-leading cause of cancer death for women, according to the Centers for Disease Control and Prevention, it can be beneficial to complete a breast cancer risk assessment to see how likely you are to develop breast cancer.

UofL Health regularly uses the Tyrer-Cuzick Model Breast Cancer Risk Evaluation Tool* from the International Breast Cancer Intervention Study. The Tyrer-Cuzick Model can let patients know how likely they are to develop breast cancer within 10 years and in their lifetime. The model is not designed to be used on women who have already had a breast cancer diagnosis.

The Tyrer-Cuzick Model is a formula based on thousands of patients’ histories. This tool is included in the national cancer guidelines for assessing breast cancer risk and is not specific to any particular cancer center.

The Tyrer-Cuzick Model takes the following into account when evaluating breast cancer risk:

  • OB/GYN history
  • Body mass index
  • Hormone replacement
  • Abnormal biopsies
  • Breast density
  • Family history

At UofL Health, breast radiologists often will run the Tyrer-Cuzick Model on patients when they come for their screening mammogram to see if they need to come to the High Risk Breast Clinic at UofL Health – Brown Cancer Center or if additional annual screening is recommended. This risk assessment can also be done at an OB/GYN or primary care visit.

In addition to the Tyrer-Cuzick Model, patients may find it beneficial to undergo genetic testing to learn more about their breast cancer risk. Patients should talk to their provider or the High Risk Breast Clinic about genetic testing options.

The High Risk Breast Clinic at Brown Cancer Center provides individuals with a high risk for developing breast cancer an opportunity to consult with our multidisciplinary team, including a dedicated breast oncologist, a dedicated gynecologic oncologist, surgeons, OB/GYNs and geneticists. This team provides patients with the information and resources necessary to make informed decisions regarding their health to develop a plan for surveillance and risk reduction. To make an appointment at the High Risk Breast Clinic, call 502-562-HOPE (4673).

UofL Health is here for all your breast health needs. UofL Health offers comprehensive services, such as 3D mammography options, breast ultrasounds as well as breast MRI. If you would like to schedule your mammogram, please call 502-681-1405, or visit Mammogram Screenings to learn more and see locations.

*Note: This link is the free version and is not intended for clinical or commercial use. The Brown Cancer Center utilizes the full version that is intended for clinical use.

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Article by: Brian Dong, M.D.

Brian Dong, M.D., is a breast oncologist for UofL Health – Brown Cancer Center. Dr. Dong received his Bachelor of Science degree from Duke University prior to graduating from the University of Louisville School of Medicine with his Doctor of Medicine degree. After graduating, he completed an internship with the University of Louisville, Department of Internal Medicine where he also completed his residency. Dr. Dong then went on to complete his fellowship with the University of Louisville Medical Oncology & Hematology. At the Brown Cancer Center, Dr. Dong specializes in medical oncology and hematology, with special interests in high-risk breast disease, breast cancer genetics, breast cancer adjuvant therapies and metastatic breast cancer. “I know how delicate of a time this can be in someone's life and I practice oncology with a dedication to that trust patients put in us,” said Dr. Dong. He is certified by the American Board of Internal Medicine.

All posts by Brian Dong, M.D.
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