Asymptomatic Patients with a Family History of Breast Cancer
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(Not for those with breast symptoms, under the breast team or with other non family-history related breast queries)
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Known genetic fault history(e.g. BRCA1 or 2): refer directly to Peninsula Genetics
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Family history of breast cancer:
- Review according to NICE 2013 guidelines (see diagram and link below.
- If meeting criteria then refer to “Family History clinic” at the Mermaid Centre (for risk assessment and onward referral to genetics team if eligible for testing)
- Advice & Guidance: available via e-referral A&G system (do not write directly)
USEFUL LINKS/LEAFLETS:
Breast awareness: https://breastcancernow.org/information-support/have-i-got-breast-cancer/signs-symptoms-breast-cancer
Familial breast cancer - https://breastcancernow.org/sites/default/files/publications/pdf/bcn_family_history_2022_web_0.pdf
Inform patient:
1. They will be sent a link to a secure web-based app where they will be asked to complete family history details (paper-based still an option for those who need it).
REFERENCES:
NICE 2013 guidelines - https://www.nice.org.uk/guidance/cg164
Date Reviewed 24/03/2022
Next Review Date 24/03/2023
Author Dr M Attridge, RMS GP Sifter
Contributors Dr Rebecca Osborne, GPwSI Breast, RCHT
Eleanor Thorpe, Rachel Evers