The Special Surveillance Breast Program (SSBP) at Memorial Sloan-Kettering Cancer Center is a comprehensive, long-term surveillance program for women who are identified to be at increased risk for the development of breast cancer.
These women include those with:
- a diagnosis of atypical hyperplasia
- a diagnosis of lobular carcinoma in situ
- a family history of breast cancer in a first degree relative (mother, sister, or daughter)
- a history of radiation therapy to the chest
- a known genetic predisposition to breast cancer
The objective of the program is to provide services for the prevention and early detection of breast cancer.
Physician Examination
Prior to enrollment in the SSBP, you will complete a detailed questionnaire regarding your background information and family history. At the medical offices of the Evelyn H. Lauder Breast Center on East 64th Street, you will be examined by a physician who specializes in the detection and treatment of breast cancer. This physician will have an expertise in your particular risk factor. He or she will counsel you on your risk and discuss current concepts in prevention and early detection. Your physician or nurse can make referrals to the following services at the time of your initial consultation, or at any time after your enrollment in the SSBP.
Breast Imaging
State-of-the-art breast imaging facilities accredited by the American College of Radiology are provided at the Iris Cantor Diagnostic Center on the Lower Concourse of Memorial Sloan-Kettering 64th Street. Women enrolled in the program will be advised on the appropriate interval for mammograms and are encouraged to use the on-site facilities.
Nursing Services
The nurses who work with the SSBP will provide you with a variety of services, the most important of which is instruction in Breast Self-Examination (BSE). As a participant in Memorial Sloan-Kettering Cancer Center's SSBP, you will be encouraged to practice BSE monthly. Our goal is to alleviate any barriers to its practice through individual education sessions.
Clinical Genetics Service
The Clinical Genetics Service offers a variety of services including education, counseling, screening, and testing. Individuals with a family history of cancer may benefit from consultation with one of the genetic specialists to assess the likelihood of a genetic risk for breast cancer, such as a mutation of the genes BRCA1 or BRCA2. Referral for services offered by the Clinical Genetics Service may be made after discussion with your SSBP physician.
Clinical Nutrition Services
Nutrition education and counseling are available to patients enrolled in the SSBP. Studies show that appropriate nutritional habits may reduce the risk of many diseases, including breast cancer. Recommendations regarding weight loss, weight gain, and dietary changes are available.
Psychosocial Support Services
At times, patients enrolled in the SSBP may feel overwhelmed with issues regarding their increased risk of breast cancer or other life issues. These patients can be referred to the staff of the Evelyn H. Lauder Breast Center, which includes psychiatrists, psychologists, and a social worker. All are specially trained to assist women in dealing with their risk of breast cancer.
Research Activities
The mission of Memorial Sloan-Kettering Cancer Center is the progressive control and cure of cancer through programs in patient care, research, and education. Because of this mission, you may be invited to volunteer in ongoing research studies (clinical trials). However, the choice of whether to participate is yours.
In addition to the variety of services mentioned above, the staff of the Special Surveillance Breast Program will strive to provide you with current and relevant information regarding breast issues and the risk of breast cancer.
