Very High Lifetime Risk, 35% or More

• Start breast imaging as early as age 30.
• Alternate 3-D mammogram and ultrasound with bilateral breast MRI every six months.
• Consult an experienced breast oncologist or breast surgeon to explore potential risk reduction and treatment options. These may include a five year hormonal suppression therapy with medications like tamoxifen or prophylactic double mastectomy.
• Risk reduction options should be considered after completion of childbearing and in consultation with a breast oncologist or breast surgeon.
• This proactive surveillance protocol aims to ensure timely detection of any abnormalities, facilitating prompt intervention and risk reduction strategies.
• Regular follow-up appointments and ongoing risk assessment are essential to ensure appropriate screening and surveillance measures are in place.
• Discuss individual risk factors and screening options with your health care provider.