Breast and ovarian cancer

Question 1

What is the lifetime risk of breast cancer in an Australian women before 85 years old?

Answer 1

1 in 9

Question 2

What is the risk of ovarian cancer in an Australian women before 85 years old?

Answer 2

1 in 78

Question 3

What percentage of women with breast cancer have a family history of breast cancer?

Answer 3

less than 5%

Question 4

Which women are eligible for breast MRI medicare rebate?

Answer 4

Women less than 50 years old, with no breast cancer, but is deemed at high risk of breast cancer.
High risk includes a strong family history (see criteria) and carries the high risk genes.

Question 5

What tools can you utilise as a GP for a patient concerned about their family history of breast cancer?

Answer 5

Consider the Australian Government FRA BOC tool by Cancer Australia

Question 6

In a patient consider at high risk of breast cancer at less than 50 years old, what screening strategy could you advise?

Answer 6

According to NICE guidelines
Annual mammogram, MRI, Ultrasound.
Start at 30 years old until 49. Can continue until 69 if they have dense breast pattern.
If wants gene testing, then refer for genetic counselling.

Question 7

Outline the role of bilateral salpingoophrectomy in women who have BRAC gene mutation?

Answer 7

If done pre menopausally- reduces risk of breast cancer by 50% and ovarian cancer by 80% in BRAC mutation carriers.