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Sibley Memorial Hospital

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High Risk Clinic

The High Risk Breast Clinic at Sibley Memorial Hospital is a comprehensive program for patients who are at increased risk for developing breast cancer. We offer a variety of services for the prevention and early detection of breast cancer in high-risk patients.

We are located in the Sullivan Breast Center on the fourth floor of the Renaissance Building. Email rsaadeh1@jhmi.edu to initiate your evaluation by our team.

Who Is a High-Risk Patient?

Generally, patients who are considered high risk often have a:

  • Known genetic predisposition to breast cancer (due to a BRCA mutation or several other gene mutations that predispose to breast cancer)
  • Diagnosis of atypical hyperplasia
  • Diagnosis of lobular carcinoma in situ
  • Family history of breast cancer in a first-degree relative (mother, sister, daughter)
  • Family history of breast and/or ovarian cancer in multiple first and second-degree relatives
  • History of radiation to the chest

What to Expect on Your First Visit

Prior to your initial consultation, please complete information about your personal and family history.

Your first visit includes:

  • A review of your medical history by a provider who specializes in breast health
  • A physical exam
  • Counseling on your risk and methods of early detection and prevention
  • Referrals to other services as necessary

What Other Services Are Offered Through the High Risk Breast Clinic?

Clinical Genetics

Our clinical geneticist, Reem Saadeh, M.D., offers counseling and testing for hereditary cancer risk. Genetic counseling is an in-depth, personalized educational consultation process designed to answer questions, dispel myths, provide clear detailed clinical information about relevant genetic-cancer links and assess personal and family cancer risk. 

Genetic counseling also addresses the benefits and limitations of testing. Many people learn all that they need from genetic counseling. Others rely on that information to make a decision about whether or how to proceed with genetic testing.

Genetic testing is a laboratory analysis of a blood or saliva sample that can identify the presence of a known gene mutation positively correlated with an increased risk of a specific cancer. Testing has helped many patients and their physicians make important decisions about medical care; however, testing is not the right choice for everyone.

Breast Imaging

The Sullivan Breast Center provides the highest quality breast images that are interpreted by our dedicated breast radiologists, Pouneh Razavi, M.D., Sara Shaylor, M.D., and Sandra Polin, M.D. The Sullivan Breast Center offers screening and diagnostic mammograms with 3-D mammography/tomosynthesis, ultrasound, MRI and breast biopsies.

Breast Surgery

The Sullivan Breast Center has dedicated breast surgeons experienced in the management of the high risk breast patient. The breast surgery team, comprised of Colette Magnant, M.D. and Maureen O’Donnell, M.D., as well as their Nurse Practitioner, offers clinical breast exams for high risk patients, instruction on breast self-exam, as well as education on risk reduction through lifestyle changes. In addition, the team has experience with all types of breast imaging and can explain why certain types of imaging may be beneficial to you. The surgeons perform preventative, or prophylactic, mastectomy, including nipple sparing mastectomy, for patients at high risk for breast cancer. If a breast cancer develops, the surgeons are highly skilled in a variety of surgical techniques to give the best outcome possible.

Medical Oncology

Our medical oncologists are experienced in treating patients with a genetic predisposition to breast cancer. The medical oncology team offers education on risk reduction through lifestyle changes, as well as chemoprevention for patients at high risk breast patients.

Multidisciplinary Breast Cancer Treatment

Should you be diagnosed with breast cancer, we have a multidisciplinary team who specializes in the treatment of breast cancer in addition to surgery, including chemotherapy, radiation therapy and endocrine therapy.

We help patients with breast cancer by supporting the whole person during breast cancer treatment and into recovery. We help patients and their families manage both the medical and many non-medical aspects of dealing with breast cancer treatment. This support addresses the practical, logistical, emotional and spiritual aspects associated with breast cancer and breast cancer treatment including the experience and after effects of chemotherapy and radiation.

Not Sure If You Are a High-Risk Patient?

Email rsaadeh1@jhmi.edu to initiate your evaluation by our team.