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6 October 2026

Dense Breasts, Family History and BRCA: Understanding High-Risk Screening

If you have dense breasts or a strong family history, standard screening may not be enough. Here is what high-risk screening involves.

Not every woman has the same risk of breast cancer. Knowing where you stand helps you choose the right screening.

Why dense breasts matter

Dense breast tissue appears white on a mammogram — and so do tumours. This can make small cancers harder to see. Supplementary ultrasound or MRI may be advised.

Family history

A mother, sister or daughter with breast or ovarian cancer, especially at a young age, or several affected relatives, may raise your risk.

BRCA and genetic testing

Changes in genes such as BRCA1 and BRCA2 significantly increase lifetime risk. Genetic counselling and testing can clarify your risk and guide decisions.

What a high-risk plan may include

  • A formal risk assessment
  • Earlier or more frequent screening
  • MRI alongside mammography where appropriate
  • Referral for genetic counselling
  • Discussion of risk-reducing options for very high-risk women

Taking control

Knowing your risk is empowering. It allows problems to be found early, when treatment is most effective.

Book a risk-assessment consultation with Dr Broeze.