Managing Breast Cancer Risk

Section 1: Evaluation of Risk
1. Overview of Clinical Risk Assessment
2. Familial and Genetic Risk
3. Endocrine Risk Factors
4. Benign Breast Disease and Breast Cancer Risk
5. Lifestyle and Environmental Factors and Breast Cancer Risk
6. Breast Cancer Risk in the Context of Overall Health

Section 2: Risk Management Strategies
A. Surveillance
7. Outcome of Routine Surveillance of High-Risk Woman
8. Newer Imaging Approaches to the High-Risk Woman
9. Role of Breast Epithelial Sampling Techniques in High-Risk
Women
B. Chemoprevention
10. Biologic Basis for Breast Cancer Risk Reduction with
Pharmacologic Agents
11. Tamoxifen for Chemoprevention
12. SERMS Other Than Tamoxifen for Chemoprevention
13. Aromatase Inhibitors for Chemoprevention
14. Quality of Life Issues with Endocrine Chemoprevention
15. Improving Quality of Life for Women at High Risk for Breast
Cancer: Symptom Management without Estrogen
C. Surgical Prevention
16. Prophylactic Mastectomy and Oophorectomy
17. Breast Reconstruction
D. Psychological Issues in High-Risk Woman

Section 3: Practical Management Guidelines