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southern new mexico surgery center
 
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    Breast Health Assessment

    Breast cancer is the most commonly diagnosed cancer in women other than skin cancer. The American Cancer Society says the breast cancer death rate is declining. This is probably because of earlier detection through routine screening and better treatment. Early detection is the main way to find breast cancer when it’s small and easier to treat.

    This short assessment will help you learn if you have risk factors that may raise your breast cancer risk. It is not a complete review of all breast cancer risks. For a complete evaluation of your risks, see your healthcare provider. Knowing your breast cancer risk is helpful when making a breast cancer screening plan.

    This tool is not meant for women who have or have had breast cancer.

    African American Asian Caucasian Hispanic Other
    lbs.
    Feet Inches
    Yes No
    Yes No
    Yes No
    Mother Daughter Sister Aunt (mother’s or father’s sister) Grandmother No family history of breast cancer
    Yes No
    Yes No
    Yes No
    Yes No
    Yes No
    Lobular carcinoma in situ (LCIS) Atypical ductal hyperplasia (ADH) Atypical lobular hyperplasia (ALH) None of these
    Yes No
    Yes No
    Yes No

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

    © 2000-2025 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
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    Southern New Mexico
    Surgery Center

    2301 Indian Wells Rd. Suite B
    Alamogordo, NM 88310
    www.snmsc.org

    Phone: 575.437.0890
    Fax: 575.437.0905
    Email: info@snmsc.org

    Disclaimer