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Doody's Review ServiceReviewer: Melody L. McKinney, DNS, RN (Indiana State University)
Description: Major advances in breast cancer risk assessment techniques in the past decade have lead to a shift from age-based screening recommendations to guidelines based on personalized risk assessment. Women need to know their personal risk for developing breast cancer in order to make informed decisions concerning how early to begin screening and whether or not to consider risk reduction strategies. Knowledge of genetic testing and its implications is necessary to accurately determine the risk of breast cancer. Additional counseling is essential to understand the risks and benefits of prophylactic risk reduction strategies.
Purpose: This book was designed as a manual to equip healthcare providers with the tools needed to assess a woman's risk of developing breast cancer and to advise her about therapeutic risk-reducing options.
Audience: The book should be useful to all professionals involved in breast cancer prevention and care. The editors are two well-known experts in breast cancer assessment, prevention, and management, and their contributors are 16 experts in specialized areas of this field of cancer care.
Features: The book consists of 13 chapters, the first three of which cover the epidemiology, lifestyle risk factors, and genetics of breast cancer. Chapter four describes the development of a risk assessment clinic. Chapters five through nine describe the assessment and prophylactic management techniques of breast imaging, ductal lavage, chemoprevention, hormone replacement therapy, and prophylactic mastectomy. Chapters 10 through 12 cover genetic and risk counseling, along with the psychological management of women at increased risk. The book concludes with a discussion of the cost effectiveness of breast cancer risk management.
Assessment: This tiny little handbook is packed with up-to-date, clinically relevant information. It is a well-indexed, well-referenced resource that meets the editors' goal of a useful tool for assessing women of their individualized risks for developing breast cancer and advising them about the risks and benefits of prophylactic options. No clinician should be without this indispensable guide for assessing and advising women on critical issues related to their breast health.