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Gyn: Breast Cancer Risk ProgramsFrom: Garry E. Siegel, M.D. (garrys@mindspring.com)Fri Apr 11 17:05:58 2008
Are any of you using BRCAPRO or other programs to assess cumulative risk? The Gail model is easy. . . The BRCAPRO model, mentioned in the article from 3/07 in CANCER that made MRI appropriate for certain people, is a freebie but not too easy for me to use (maybe I can't find the instructions). It is making a pedigree, and time consuming. It is also possible, if not likely, that I need advanced help and that the program is simple :). So, when I see a patient who is 71 with two daughters with invasive breast cancer, both at age 40, and the patient is an Ashkenazi Jew, she certainly is at significant risk and may warrant MRI or maybe Tamoxifen. How do you assess someone like this? Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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