TTUHSC Amarillo Breast Center of Excellence
HomeBCEPatient Programs

Risk Assessment and Prevention Program (RAPP)

This is a fortnightly clinic held by a trained physician or nurse practitioner with a specific focus on risk assessment and formulation of risk reduction strategy. Patients with predisposition towards breast cancer are evaluated every six months for close monitoring. The patients are channeled to these clinics through multiple sources, as follows:

  • Primary physician referrals, when they determine that the patient is high-risk (e.g. family history of cancer, high score on risk models, etc.)
  • Scheduled by trained staff attending patient calls, when they determine the high-risk status
  • Referral of family members of cancer patients seen in the cancer clinic
  • Referral from other specialists, when they determine the high-risk status

This clinic provides:

  • Detailed risk assessment utilizing Tyrer-Cuzick model
  • 6 monthly detailed screening breast exams
  • Counseling regarding life-style modification to lower the risk pertaining to modifiable factors
  • Evaluation of yearly screening mammograms
  • Determination and referral for screening MRI’s
  • Counseling regarding chemopreventive strategies
  • Monitoring of women who choose to use hormonal chemoprevention
  • Identification of risk for genetic mutation
  • Genetic testing and counseling for appropriate women
  • Specific sessions with geneticist for  counseling regarding mutation carrier status


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