Required Workup

Required:

• Diagnostic bilat mammo
• Path review (including ER, PR)
• US and Biopsy if there are suspicious LNs
• LFT/AlkPhos if positive -> CTAP/bone scan
• Genetic counseling if high risk

• High risk indicators for genetic counseling
  • Known mutation in FH
  • ≥2 breast primaries in family member
  • ≥2 FH same side with 1 ≤50yo
  • ovarian CA, Male breast CA
  • ≤2nd degree relative BCA ≤45yo
  • FH of 3 or more:
    • CA's: Breast, Pancreatic, Prostate, Melanoma, Sarcoma, Adrenocortical carcinoma, brain, leukemia, diffuse gastric, colon, endometrial, thyroid RCC
    • Dermatologic manifestations, Macrocephaly, hamartomatous polyps