RadOnc Resident Wiki/Breast/Workup

Required Workup
Required:
 * Diagnostic bilat mammo
 * Path review (including ER, PR)
 * US and Biopsy if there are suspicious LNs
 * LFT/AlkPhos if positive -> CTAP/bone scan
 * Genetic counseling if high risk


 * High risk indicators for genetic counseling
 * Known mutation in FH
 * &ge;2 breast primaries in family member
 * &ge;2 FH same side with 1 &le;50yo
 * ovarian CA, Male breast CA
 * &le;2nd degree relative BCA &le;45yo
 * FH of 3 or more:
 * CA's: Breast, Pancreatic, Prostate, Melanoma, Sarcoma, Adrenocortical carcinoma, brain, leukemia, diffuse gastric, colon, endometrial, thyroid RCC
 * Dermatologic manifestations, Macrocephaly, hamartomatous polyps