Print This Page     Close Window Consult Request Guidelines for Strong family history of breast and ovarian cancer/BRCA gene mutation carriers     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 Appointment Timeframe 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 Physician: 800-962-3555 Patient: 734-763-6295 (OB/Gyn) or 734-764-0107 Clinic Location Sites Cancer Center East Ann Arbor Health and Geriatrics Center Mott Children’s Hospital and Von Voigtlander Women’s Hospital UM Consulting Physician Mark David Pearlman, M.D. Sofia D Merajver, M.D., Ph.D. Lisa A. Newman, MD, MPH, FACS Plastic Surgery reconstruction evaluations: Edwin Grant Wilkins, M.D. Revised on: 02/03/2012