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Breast Cancer Risk Assessment

Breast cancer is the most commonly diagnosed cancer in women (other than skin cancer). The American Cancer Society reports the breast cancer death rate is declining, probably due to earlier detection and improved treatment. This short assessment will help you determine if you have major risk factors for breast cancer. It is not a complete assessment of all risks. For a complete evaluation of your risks, see your health care provider

2. What is your ethnic group?
5. At what age did you have your first menstrual period?
6. If you are past menopause, how old were you when menopause began?
7. Have you had one or more children?
8. If you have had a child, how old were you when your first child was born?
9. Do you drink more than one alcoholic beverage a day?
10. Do you smoke?
11. If any women in your family have had breast cancer, check their relationship to you (check all that apply)
12. Was your mother, sibling, or child diagnosed with breast cancer before the age of 50?
13. Have you had or do you have uterine cancer?
14. Have you had or do you have ovarian cancer?

This assessment is not intended to replace the evaluation of a health care professional.

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Lake Charles Memorial Health System
1701 Oak Park Boulevard
Lake Charles, LA 70601
(337) 494-3000
Physicians & Employees Only