A healthcare provider guides a patient during a mammogram.

High-Risk Breast & Ovarian Cancer Program

We offer in-depth individual counseling tailored to your personal history, family history and risk profile.

Learn more about your options for:

Risk Factors for Breast or Ovarian Cancer

Signs of increased risk of cancer are often based on family history. You might benefit from a consultation in our high-risk clinic if your family has any of the the following:

  • Multiple generations affected by breast cancer (or related cancers like ovarian, pancreatic or colon cancer)
  • Cancers occur at younger ages (for example women with breast cancer who are under 45)
  • Multiple cancers in one family member
  • Any male breast cancer diagnosis
  • Any ovarian cancer diagnosis
  • Triple negative breast cancer in a woman at 60 years of age or less
  • Pancreatic cancer in combination with other cancers
  • Ashkenazi Jewish ancestry
  • Personal history of therapeutic chest radiation before age 30 for other cancers
  • Increase calculated risk based on models. One model is the Gail Model that evaluates your relative risk of developing breast cancer based on your personal and family history.

Your Risk for Breast or Ovarian Cancer

The Gail Model is a scientifically published, nationally accepted standard for estimating your relative risk of developing breast or ovarian cancer, based on your family history.

Take the Gail Model risk assessment now.

Early Detection & Cancer Risk Reduction Options

Although we still don't always know what causes cancer, there are new and powerful options available to detect and even prevent breast and ovarian cancers. If you have an increased risk, you should be closely monitored and understand your options.

We offer these services to women at high risk for breast and ovarian cancers:

  • Genetic counseling and testing
  • Screening
  • Risk reduction
  • Personal support for you and your family

Thanks to advances in our understanding of genetics, you can learn if you’re at higher inherited risk for cancer, enabling you to take action to stay healthy.

Genetic Counseling & Testing

Genetic mutations and other inherited risk factors are a factor in less than 10% of breast cancers but can be a factor in up to 20% to 25% of ovarian cancers.

If you do carry an inherited mutation, our high-risk team can help you understand what it means in terms of your risk of developing cancer. Full-time genetic counselors assist in evaluation of genetic risk.


Routine cancer screening is recommended for all women and includes mammograms to screen women over 40 for breast cancer, Pap tests (and/or HPV testing) to screen women over 21 for cervical cancer and colonoscopy to screen women over age 50 for colon cancer. 

  • Breast cancer: The highest risk women may benefit from breast MRI in addition to mammogram
  • Ovarian cancer: The highest risk women may benefit from blood work or pelvic ultrasounds (or enrollment in a clinical trial for ovarian cancer screening)

Risk-Reduction Services

Women with a high risk may consider:

  • Medications like birth control pills, breast cancer drugs or even aspirin 
  • Risk-reducing surgery
  • Non-surgical treatments like chemoprevention (chemotherapy as a preventative measure)