Specialist Referral Recommended

Early Referral to Surgeon:

• Clinical features suggestive of breast cancer
• BI-RADS Category (4) to (6)

Referral to Specialised Cancer Centres with Expertise in Genetic Counselling*:

• For genetic counselling and testing: Women who have any first-degree female relative with confirmed BRCA1/2 deleterious mutations should be offered genetic testing to confirm or refute their carrier status
• For advice and counselling on prophylactic surgery / chemoprevention: Confirmed carriers of BRCA1/2 deleterious mutations who wish to consider prophylactic surgery / chemoprevention
• Discuss and consider referral for genetic testing and counselling: Women at high risk due to other types of family history who wish to clarify their genetic risk or that of their family

BI-RADS = Breast Imaging-Reporting and Data System
*Healthcare professionals should discuss with their clients in detail about the uncertainties and implications of the test results