Criteria for referral to public hospital service

  • Person with high risk due to a family history of breast cancer or ovarian cancer occurring in two first-or second-degree relatives on the same side of the family, plus one or more of the following features:
    • additional relatives with breast cancer or ovarian cancer
    • a relative with both breast and ovarian cancer
    • breast cancer diagnosed before the age of 40
    • breast cancer affecting both breasts
    • Ashkenazi Jewish ancestry
    • breast cancer in a male relative
    • a relative who has tested positive for a high-risk gene mutation e.g. mutation in genes such as BRCA1 or BRCA2.
  • Findings from breast screening that includes advice that an assessment is recommended
  • Referral from a Familial Cancer Centre.

Information to be included in the referral

Information that must be provided

  • Most recent mammography results including when and where imaging was performed
  • Family history of breast cancer including:
    • the number of the patient’s blood relatives who have had cancer
    • the ages of these family members when they developed cancer
    • any carrier of a known mutation or familial cancer syndrome
    • the pattern of cancer in the patient’s family
    • if the patient’s family has a particular geographical/ethnic background
  • Patient age.

Provide if available

  • A summary of the genetic testing and risks identified during assessment and counselling including characterisation of pathogenic gene variants
  • If the person identifies as an Aboriginal and Torres Strait Islander.

Additional comments

The Summary and referral information lists the information that should be included in a referral request.

Where appropriate and available the referral may be directed to an alternative specialist clinic or service.

Referral to a public hospital is not appropriate for

  • At low or slightly above average risk where there is no family history of breast cancer
  • Moderate risk due to family history of breast cancer
  • Referrals for familial cancer services should be directed to publicly funded familial cancer centres.
  • Referrals for genetic testing should be directed to publicly funded genetic testing clinics.