RadOnc Resident Wiki/Breast/Workup

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Required Workup[edit | edit source]

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
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