GoalMeasure risk accurately and make a personal follow-up plan
Who forThose with a family history or a known gene change
Follow-upYearly imaging, starting earlier and including MRI
In women whose family has breast or ovarian cancer, or who carry a known gene change (such as BRCA1/BRCA2), the risk is higher than in the general population. For these patients a personalised surveillance and prevention plan is made.
What is done?
- Risk assessment and, if needed, genetic counselling and testing
- Annual follow-up starting at an earlier age, with breast MRI in addition to mammography
- Where appropriate, discussion of risk-reducing surgery (breast and ovary/tubes)
- Information for other family members
High risk does not mean cancer
High risk does not mean the disease will certainly develop; but regular and correct follow-up lets it be caught at the earliest stage.
Who should apply? People with breast cancer before age 50, a triple-negative diagnosis, several breast/ovarian cancers in the family, male breast cancer or a known family gene change.
Risks and points to be aware of
- Because a genetic test result can affect decisions for you and your family, counselling before testing is important.
- A result can sometimes be “uncertain significance”; in that case follow-up advice is weighed together with clinical information.
- Risk-reducing surgery is a permanent decision; it is made with time and after all options are discussed.
Follow-up and next steps
Your follow-up programme is planned in writing according to your age and risk level. We inform family members and, if needed, refer for genetic counselling.
Contact us without delay if
- A new lump in the breast
- Nipple change or bloody discharge
- A lump in the underarm
Frequently asked questions
Must I have genetic testing?
It is not necessary for every woman. The decision is made together according to your family history and diagnosis features.
