High Risk Cancer Program

Houston Methodist Cancer Center launched its High Risk Program to identify and serve patients with a stronger-than-average chance of developing breast, gastrointestinal, ovarian or uterine cancer. Our team, including doctors, nurses, genetic counselors and nutritionists, offers:

  • Risk assessment, including medical and family history review
  • Nutrition and lifestyle modification and education
  • Genetic screenings and counseling
  • Genetic testing
  • Cancer surveillance and regular exams
  • Clinical study participation

We collaborate with primary care doctors, ob-gyns and gastroenterologists, who refer their high-risk patients for more advanced evaluation.

Breast Cancer Risk

Our nationally and globally recognized specialists are experts in assessing and researching breast cancer risk, as well as diagnosing and treating the disease. We strive to prevent at-risk patients and their families from getting the disease using the latest technology, clinical trials, screenings and genetic counseling and testing.

During your initial visit, you will receive a care plan outlining your lifetime breast cancer risk based on your:
  • Genetic screening and counseling session
  • Medical and family history review
  • Genetic testing, if needed
  • Nutrition counseling

 Additionally, we provide information about:
  • Need for more intensive screenings
  • Breast cancer risk reduction options
  • Cancer prevention clinical studies

Risk factors include:
  • An inherited mutation in the BRCA1 and BRCA2 genes or other specific genes
  • A family history of breast cancer or other cancers, such as:
    • Ovarian
    • Endometrial
    • Prostate
    • Pancreatic
    • Colon
  • Radiation exposure to the chest
  • Ashkenazi Jewish ancestry

Gastrointestinal Cancer Risk 

Our high-risk gastrointestinal cancer program provides a colorectal cancer risk assessment, personalized screening plans, genetic counseling and testing, when appropriate, as well as nutrition guidance. Risk factors include:

  • Colorectal cancer diagnosed younger than age 50
  • Colorectal cancer at any age with family history of cancers, including:
    • Endometrial
    • Gastric
    • Ovarian
    • Pancreatic
    • Ureter/renal pelvis
    • Biliary tract
    • Brain
    • Small bowel
    • Sebaceous adenomas – small bumps usually found on the face, scalp, abdomen, back or chest
  • Diffuse gastric cancer diagnosed younger than age 45
  • Family history of diffuse gastric cancer or lobular breast cancer
  • Pancreatic cancer diagnosed at a young age
  • Pancreatic cancer diagnosed at any age with family history of pancreatic, melanoma or breast cancer
  • Multiple polyps

 

Uterine and Ovarian Cancer Risk 

Our high-risk gynecology program provides risk assessment for ovarian and endometrial cancer, personalized screening plans, genetic counseling and testing, when appropriate, as well as nutrition guidance. Risk factors include:

  • Epithelial ovarian, fallopian tube or primary peritoneal cancer
  • Endometrial cancer diagnosed younger than 50
  • Endometrial cancer diagnosed at any age with family history of cancers, including:
    • Colorectal
    • Gastric
    • Ovarian
    • Pancreatic
    • Ureter/renal pelvis
    • Biliary tract
    • Brain
    • Small bowel
    • Sebaceous adenomas