Table 5.

Recommended Surveillance for Men with BRCA1- and BRCA2-Associated Hereditary Breast and Ovarian Cancer

System/ConcernEvaluationFrequency
Breast cancer Breast self-exam trainingAt the time of identification of a BRCA1 or BRCA2 pathogenic variant
Breast self-examMonthly beginning at age 35 yrs
Clinical breast examAnnually beginning at age 35 yrs
Prostate cancer Serum PSA; digital rectal examAnnually beginning at age 40 yrs
Melanoma Skin exam w/dermatologistIndividualized based on family history
Pancreatic
cancer
In asymptomatic persons who meet criteria based on mutation status & family history, contrast-enhanced MRI/MRCP &/or EUS may be considered in a research setting to better delineate the risks & benefits of pancreatic cancer screening.

EUS = endoscopic ultrasound; MRCP = magnetic resonance cholangiopancreatography

From: BRCA1- and BRCA2-Associated Hereditary Breast and Ovarian Cancer

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