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Breast Health Center




High Risk Breast Clinic

The High Risk Breast Clinic at Sibley Memorial Hospital is a comprehensive program for patients who are at increased risk for developing breast cancer.  We offer a variety of services for the prevention and early detection of breast cancer in high risk patients. 
We are located on the 4th floor of the Renaissance Building.  Call 202-243-5230 to make an appointment.  

(Pictured right: Colette M. Magnant, M.D., patient, Ida Vaclavik, N.P.)

Who is a high risk patient?

Generally, patients who are considered high risk often have a:

  • known genetic predisposition to breast cancer (often referred to as a BRCA mutation)
  • diagnosis of atypical hyperplasia
  • diagnosis of lobular carcinoma in situ
  • family history of breast cancer in a first-degree relative (mother, sister, daughter)
  • family history of breast and/or ovarian cancer in multiple first and second-degree relatives
  • history of radiation to the chest

What happens at the initial consultation?

Prior to your initial consultation, please complete information about your personal and family history.  

Your first visit includes:
  • a review of your medical history by a provider who specializes in breast health
  • a physical exam 
  • counseling on your risk and methods of early detection and prevention
  • referrals to other services as necessary

What other services are offered through the High Risk Breast Clinic?

Breast Imaging

At the Sullivan Breast Center we provide the highest quality breast images that are interpreted by our dedicated breast radiologists.  The Sullivan Breast Center offers screening mammograms, diagnostic imaging, ultrasound, MRI and breast biopsies.


The High Risk Breast Clinic offers education on breast self-examination and risk reduction through lifestyle changes.  In addition, we explain the different types of breast imaging and why certain types of imaging may be beneficial to you.

Clinical Genetics

Our clinical geneticist offers counseling and testing for hereditary cancer risk. Genetic counseling is an in-depth, personalized educational consultation process designed to answer questions, dispel myths, provide clear, detailed clinical information about relevant genetic-cancer links and assess personal and family cancer risk. Genetic counseling also addresses the benefits and limitations of testing. Many people learn all that they need from genetic counseling. Others rely on that information to make a decision about whether or how to proceed with genetic testing. 

Genetic testing is a laboratory analysis of a blood sample that can identify the presence of a known gene mutation positively correlated with an increased risk of a specific cancer. Testing has helped many patients and their physicians make important decisions about medical care; however testing is not the right choice for everyone.

Breast Cancer Treatment

Should you be diagnosed with breast cancer, we have a multi-disciplinary team who specializes in the treatment of breast cancer through surgery, chemotherapy, radiation therapy and endocrine therapy. 

We help patients with breast cancer by supporting the whole person during breast cancer treatment and on into recovery. We help patients and their families manage both the medical and many non-medical aspects of dealing with breast cancer treatment. This support addresses the practical, logistical, emotional and spiritual aspects associated with breast cancer and breast cancer treatment including the experience and aftereffects of chemotherapy and radiation.

Not sure if you are a high risk patient?  

Jennie Tarica, R.N., is available to answer your questions and see if you are considered a high risk patient. She can be reached at
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