Screening & High-Risk Assessment in Johannesburg
If breast or ovarian cancer runs in your family, or you have been told you have dense breasts or a gene mutation, a clear plan takes away a great deal of uncertainty.
Performed by Dr Nadine Broeze at Johannesburg Surgical Hospital, Randburg, Johannesburg.
What it involves
Risk assessment includes a detailed family history, referral for genetic counselling and testing (such as BRCA1 and BRCA2) when appropriate, and a personalised screening plan with mammography, ultrasound or MRI.
For women at very high risk, risk-reducing mastectomy with immediate reconstruction lowers breast cancer risk by around 90 percent. It is a personal decision, made over time and with full information.
For most women, regular screening starting at the right age is the most important step. Dense breasts may need ultrasound in addition to a mammogram.
When it's indicated
Consider an assessment if a close relative was diagnosed with breast cancer young, more than one relative is affected, there is ovarian or male breast cancer in the family, or a known gene mutation has been found.
The approach
Options are discussed openly and without pressure — from intensified screening to risk-reducing surgery — so you can make the decision that fits your life.
Recovery
Assessment and screening involve no recovery time. Risk-reducing surgery, if chosen, is planned like a mastectomy with reconstruction and is discussed in detail beforehand.
Screening & High-Risk Assessment FAQ
- When should I start having mammograms?
- Most women start at 40. Women with a strong family history or gene mutation may start earlier, sometimes with MRI.
- Should I be tested for BRCA?
- Testing is recommended when your personal or family history suggests a hereditary risk. Genetic counselling before testing helps you understand what the result means for you and your family.
Discuss screening & high-risk assessment with Dr Broeze
Send a short enquiry and the practice will be in touch during weekday office hours. Consultations take place at Johannesburg Surgical Hospital.
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