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Breast Cancer Risk Assessment Tool Source: National Cancer Institute Name: Last First MI Date of Birth: / / Please complete the following assessment below, noting the following: Your results for this
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How to fill out breast cancer risk assessment

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How to fill out breast cancer risk assessment:

01
Gather all necessary information: Start by collecting relevant personal and family health history, including any previous diagnoses of breast cancer, age at diagnosis, and any history of other cancers in the family.
02
Consult with a healthcare professional: It's always best to seek guidance from a healthcare professional, such as a doctor or genetic counselor, who specializes in assessing breast cancer risk. They can provide the necessary forms and resources to complete the assessment accurately.
03
Review the questions: Carefully read through the questionnaire or assessment form provided. It may include questions about personal lifestyle factors, such as alcohol consumption, exercise habits, hormone replacement therapy, or use of oral contraceptives. Answer each question honestly and to the best of your knowledge.
04
Consider genetic factors: If you have a strong family history of breast cancer or other hereditary cancer syndromes, genetic testing may be recommended. Genetic counseling can help determine if you are a candidate for testing and guide you through the process.
05
Seek support: If the assessment stirs up emotions or concerns, don't hesitate to seek the support of a counselor or support group. They can offer guidance and provide a safe space to discuss any worries or anxieties related to breast cancer risk.

Who needs breast cancer risk assessment?

01
Women with a family history: Women who have a first-degree relative (mother, sister, or daughter) diagnosed with breast cancer may benefit from a breast cancer risk assessment. Additionally, those with multiple family members diagnosed with breast or ovarian cancer may also be at increased risk and should consider assessment.
02
Women of certain ethnic backgrounds: Some ethnicities, such as Ashkenazi Jewish descent, have a higher prevalence of specific gene mutations, including BRCA1 and BRCA2. It's recommended that women from these backgrounds undergo a breast cancer risk assessment.
03
Individuals with a personal history of breast cancer: If you have previously been diagnosed with breast cancer, a risk assessment can help determine your chances of developing a new breast cancer or experiencing a recurrence.
04
Those with certain risk factors: Individuals with additional risk factors, such as early menstruation, late menopause, dense breast tissue, or a previous benign breast condition, may also benefit from a risk assessment.
In conclusion, to fill out a breast cancer risk assessment, gather the necessary information, consult with a healthcare professional, review the questions carefully, consider genetic factors if appropriate, and seek support if needed. The assessment is beneficial for women with a family history, certain ethnic backgrounds, personal history of breast cancer, and those with specific risk factors.
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Breast cancer risk assessment is a tool used to estimate a woman's risk of developing breast cancer over a certain period of time.
Healthcare providers or facilities are usually required to file breast cancer risk assessment forms.
Breast cancer risk assessment forms can be filled out by providing information such as personal and family medical history.
The purpose of breast cancer risk assessment is to identify women who may have a higher risk of developing breast cancer and provide them with appropriate preventive measures.
Information such as age, family history of cancer, genetic mutations, and lifestyle factors may need to be reported on a breast cancer risk assessment.
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