Questions About Your Risk for Hereditary Breast Cancer

This questionnaire will help determine if your family's history of cancer suggests that you could benefit from a genetic counseling and evaluation appointment.

When referenced below, "relatives" include parents, children/grandchildren, siblings/half-siblings, grandparents/great-grandparents, aunts/uncles, great-aunts/great-uncles, cousins, on both mother's and father's side of the family.

Section 1

Section 2

Seeing clusters of certain types of cancer in a family may raise concern for a hereditary breast cancer.

The next few questions will check for these clusters. Only consider cancers that occur in people who are on the same side of the family, either your mother's or father's side separately. 

This means relatives who are all related to each other by blood, including yourself.

Section 3

Other non-cancerous growths can sometimes be seen with inherited breast cancer syndromes.

Examples of non-cancerous growths include thyroid nodules/adenomas/goiters, gastrointestinal polyps, ganglioneuromas, rare skin findings such as trichilemmoma, oral papillomatosis, and facial papules, keratoses on hands/feet; or a very large head size.

Next steps

If you have checked any of the boxes above and/or said "yes", a genetics evaluation is recommended for you. Call the Saint Luke’s High-Risk Breast Clinic at 816-932-5332.

If you have not, a genetics evaluation is not recommended for you at this time.

Disclaimer
Criteria reflect national guidelines for genetic counseling referral for inherited breast cancer syndromes but does not assess risk for other cancer syndromes.

References
National Comprehensive Cancer Network. NCCN Clinical Practice Guidelines in Oncology Genetic/Familial High-Risk Assessment: Breast and Ovarian, Version 1.2022. www.nccn.org.
USPSTF Statement: Risk Assessment, Genetic Counseling, and Genetic Testing for BRCARelated Cancer. JAMA. 2019;322(7):652-665

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2022 Informed Medical Decisions, Inc. (dba InformedDNA®)