For individuals at increased risk of developing breast cancer, Memorial Sloan Kettering offers a comprehensive program including regular breast exams and imaging so that any developments can be identified and dealt with right away.
Through RISE (MSK’s Risk Assessment, Imaging, Surveillance, and Education Program for people at increased risk of breast cancer), our experts take into account a combination of factors to determine if you’re at increased breast cancer risk and, if you are, to shape a long-term surveillance plan customized specifically for you.
How We Determine If You’re at Increased Risk for Breast Cancer
Before you come to our clinic for the first time, we’ll send you a link to a secure online questionnaire about your health, background, and any history of cancer among your immediate family members. (If you need to, you can complete this questionnaire when you arrive for your visit.)
At your first appointment, one of our specialists in breast cancer screening and prevention will meet with you to review your answers. The doctor will also perform a breast exam and ask you about other risk factors for breast cancer, such as whether you’ve been diagnosed with atypical hyperplasia or lobular carcinoma in situ, whether you have a family history of breast or ovarian cancer, or whether you’ve received radiation therapy to the chest area in the past.
He or she may also recommend that you see one of our Clinical Genetics Service experts to help determine if you have a hereditary predisposition to breast cancer. For example, it’s important to know details about any first-degree relatives, such as your mother or sister, or second-degree relatives, such as an aunt or grandparent, who have had breast cancer. Genetics counselors may recommend testing for mutations in certain genes that are known to increase the risk of developing this cancer, such as BRCA1 and BRCA2.
For some individuals, a combination of various risk factors could indicate that they might benefit from being closely followed through our program. Our doctors are world-class experts in the diagnosis and treatment of breast cancer, and at determining whether you’re at increased risk for developing the disease.
For those found not to be at increased risk, we recommend annual breast screening coordinated through their doctors at our Breast Screening Program.
A Breast Cancer Surveillance Plan Customized for You
If we find that you’re at increased risk for breast cancer, we’ll develop a long-term plan customized specifically for you through our RISE program. Depending on your risk factors, the plan may include:
- Screening you for breast cancer at intervals that make sense for your level of risk. Our state-of-the-art technologies provide the highest-quality images possible, which are interpreted by radiologists who specialize in breast imaging. Depending on your situation, we can use ultrasound, digital mammography, contrast enhanced mammography, tomosynthesis, and breast MRI, if it’s determined that these might be valuable in identifying very early tumors in your breasts.
Educating you on how to properly check your breasts for changes (self-examination). Our nurses are skilled in guiding their patients through the proper way to do these exams, so you’ll be completely confident about doing them on your own.
- Discussing with you the role of chemoprevention, or medications available to help reduce the risk of developing breast cancer.
- Advising you on other risk factors for breast cancer, such as lifestyle choices involving things like diet and exercise that have been shown to reduce the risk of developing breast cancer. One of our registered dieticians is available to work with you to plan healthy food choices, control your weight if necessary, and answer nutrition questions.
- Providing you with easy access to psychological and emotional support from specially trained psychiatrists, psychologists, and social workers. We recognize that being at high risk for developing breast cancer can be stressful and often overwhelming.
- Offering you the option to participate in clinical trials that advance understanding about breast cancer risk factors, effective screening strategies, and approaches to reducing risk.
As a comprehensive cancer center, we’re uniquely equipped to help you make decisions about all aspects of your breast health, from understanding your specific level of risk for developing cancerous changes to taking measures to prevent such developments and addressing them quickly, should they occur.
Our world-class experts in surgery, medical and radiation oncology, radiology, fertility counseling, and nursing work as a team to help people diagnosed with breast cancer through every step, from treatment through survivorship.
Where We’re Located
The RISE program is located at six facilities:
- Evelyn H. Lauder Breast Center
- Memorial Sloan Kettering Commack
- Memorial Sloan Kettering Monmouth
- Memorial Sloan Kettering Basking Ridge
- Memorial Sloan Kettering Nassau
- Memorial Sloan Kettering Bergen
- Debra Mangino, Clinical Director of RISE
- Martha Rodriguez
- Erin Punturieri
- Courtney Hennelly
- Joanne Cregg
- Kathleen Kronbichler
- Jessica Gross
- Petal Martinez
For questions or to schedule an appointment, please call 646-497-9064.