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Familial Breast Cancer Clinic (PAH only)

About the Familial Breast Cancer Clinic

The Familial Breast Cancer Clinic provides a specialised service for well women aged 30-65 years who are assessed based on clinical classification systems to be at high risk of developing familial breast cancer or who have been proven to have a genetic mutation predisposing to familial breast cancer.  The specific aim of the clinic is to provide assessment and counselling services to women and offer advice regarding further management options which may include:

  • Genetic mutation testing (if not already performed)
  • Multimodality breast screening programme, for those women who favour breast screening as the preferred management option
  • Undertaking of prophylactic mastectomies and reconstructive surgery for women at proven high risk of breast cancer, and arrange referral for prophylactic oophorectomy where appropriate. 
  • Patient Information - Women attending the high risk familial breast cancer clinic (PDF)

Minimum referral criteria

Women with a strong family history of breast cancer aged 30-65 years based on their family pedigree or who have a proven predisposing gene mutation as defined in selection criteria. NB: Consideration will be given to women younger than 30 years of age if they have a known genetic mutation or if there are exceptional family history circumstances.

Meeting ONE of the following criteria based on family pedigree:
  • Three or more first or second-degree relatives, on the same side of the family, who have been diagnosed with breast or ovarian cancer;
  • Two or more first or second-degree relatives, on the same side of the family, who have been diagnosed with breast or ovarian cancer, if any of the following applies to at least one of the relatives:
    • has been diagnosed with bilateral cancer
    • had onset of breast cancer before 40 years of age 
    • had onset of ovarian cancer before 50 years of age
    • has been diagnosed with breast and ovarian cancer, at the same time or at different times 
    • has Ashkenazi Jewish ancestry 
    • has a male relative who has been diagnosed with breast cancer
  • One first or second degree relative diagnosed with breast cancer at 45 years or younger, plus another first or second relative on the same side of the family with bone or soft tissue sarcoma at age 45 years or younger
OR
  • Women with a proven genetic mutation predisposing them to an increased risk of breast-cancer e.g. BRCA 1, BRCA 2, p53, CDH1, Peutz-Jeghers syndrome.

Essential referral information for the Familial Breast Cancer Clinic

  • Family History of breast cancer 
  • Results of any genetic testing (if relevant)
  • Any previous relevant investigation results

Additional referral information for the Familial Breast Cancer Clinic


A standard GP referral to Breast & Endocrine, PA Hospital with the following information:

  • Document family history of breast cancer
  • Results of any genetic testing performed (if relevant)
  • Any previous relevant investigation results
     

Out of catchment

Metro South Health is responsible for providing public health services to the people who reside within its boundaries. Special consideration is made for patients requiring tertiary care or services that are not provided by their local Hospital and Health Service.  If your patient lives outside the Metro South Health area and you wish to refer them to one of our services, inclusion of information regarding their particular medical and social factors will assist with the triaging of your referral.

Last updated 17 January 2024
Last reviewed 4 May 2017