Strong family history of breast and ovarian cancer/BRCA gene mutation carriers
Suggested Pre-Referral Evaluation and Management Guidelines
Consider visit with genetic counselor (Dr. Merajver's office - Kara Milliron)
Tamoxifen and Raloxifene
Prophylactic surgery (bilateral salpingo-oophorectomy [BSO] and/or mastectomy) are commonplace in highest risk women. Consider visit with gynecology (Dr. Pearlman) to discuss risks/benefits/timing of BSO.
Annual mammography, yearly breast MRI, and twice annual breast exams
Suggested Additional Test/Management Prior to Specialty Visit
Offer genetic counseling and referral to Dr Merajver's clinic.
3 generation family history for cancer should be documented.
Written informed consent will need to be documented before genetic testing - MI state law.
If presence of pancreatic cancer in the family history, refer to GI to discuss pancreatic cancer screening options.
Patient Education/Information (includes preps)
Provided at time of visit
If asymptomatic, within 4-6 weeks
How to Get Results to Consultant
UMHS Patients: See CareWeb
External Patients: Please fax to 734-763-7672
Clinic Contact Information
Patient: 734-763-6295 (OB/Gyn)