Breast Cancer Risk Reduction and Counseling: Lifestyle, Chemoprevention, and Surgery

Author:
Martin C. Mahoney From the Division of Cancer Prevention and Population Sciences, Roswell Park Cancer Institute, Buffalo, New York; the Department of Social and Preventive Medicine, School of Public Health & Health-Related Professions, University at Buffalo, Buffalo, New York; and the Department of Family Medicine, School of Medicine & Biomedical Sciences, University at Buffalo, Buffalo, New York.

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Qualitative and quantitative approaches to risk assessment are useful for identifying women at increased risk for developing breast cancer for whom genetics consultation, individualized surveillance recommendations, or chemoprevention may be appropriate. A comprehensive medical and family history review can be used to stratify women into categories of breast cancer risk. A quantitative estimate of the probability of developing breast cancer can be determined using risk assessment tools, such as the Gail and Claus models. Women at increased risk for breast cancer may benefit from individualized approaches to breast cancer risk reduction. Prevention strategies for reducing breast cancer risk include lifestyle modifications, chemoprevention, surgical approaches, and pharmacotherapy.

Correspondence: Division of Cancer Prevention and Population Sciences, Roswell Park Cancer Institute - Carlton 307, Elm and Carlton Streets, Buffalo, NY 14263. E-mail: Martin.Mahoney@RoswellPark.org
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