Breast Cancer Risk Assessment Program

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Risk Assessment Program For Breast Cancer

Orange Regional Medical Center’s Spagnoli Family Cancer Center Risk Assessment Program was developed to assist patients determine their risk of getting cancer. Our skilled clinical team utilizes risk assessment tools, diagnostic results and genetic testing to deliver a personalized risk reduction plan. This plan educates patients on predisposition to cancer and outlines ways cancer risk can be reduced.

Risk Reduction Plans For Women at High-Risk For Breast Cancer

Our Ray W. Moody, M.D. Breast Center is a nationally accredited program, dedicated to helping individuals attain optimal breast health, diagnose and treat breast cancer and identify those who are at high-risk for developing breast cancer.

While routine breast exams and mammograms are necessary to identify possible breast cancer in its early stages, research has shown that some women are at higher risk for developing breast cancer based on several factors.

Characteristics of High-Risk Women

All women, especially those over 50, are at risk for developing breast cancer.  However, a woman can be at an even higher risk if there are additional personal or family risk factors.

The following characteristics may indicate a high risk for developing breast cancer.

  • Prior history of cancer, especially breast cancer
  • A history of abnormal breast biopsy such as Lobular Carcinoma in Situ (LCIS), Atypical Lobular Hyperplasia (ALH) or Atypical Ductal Hyperplasia (ADH)
  • Multiple family members with breast and/or other types of cancer
  • A first-degree relative with a diagnosis of breast and/or other cancer at a young age
  • A known inherited genetic mutation for cancer
  • History of chest radiation, such as in Hodgkin’s Disease
  • Risk score of >20% on a risk assessment scale

Through a consultation with one of our expert physicians, we offer a Risk Assessment Program. We then create a personalized and customized risk reduction plan based on each woman’s unique combination of factors

Your Customized Risk Assessment Program

The Ray W. Moody, M.D. Breast Center takes a multidisciplinary approach to assessing high-risk breast cancer patients. Our team is experienced in working together to develop comprehensive, personalized plans for reducing your breast cancer risk. Our collaborative method helps expedite and coordinate treatment and assists in securing necessary referrals.

Dependent upon your risk factors, your customized program may include:

  • A medical consultation
  • Clinical breast exam, which includes breast health education and self-breast exam instruction
  • A comprehensive Risk Assessment
  • Screenings, tests, and options for prevention customized to your level of risk
  • Genetic counseling, testing and education
  • Follow-up surveillance exams and coordination utilizing state-of-the-art breast imaging
  • Specialized Breast Patient Navigation Services
  • Nutrition and lifestyle counseling
  • Support programs to address the physical and emotional needs of individuals living with breast cancer risk

Our breast specialists combine the latest medical and scientific knowledge with the most advanced surveillance and diagnostic methods.

Our Risk Assessment Program Team

Our caring and knowledgeable staff are experts in the field of breast health, diagnosis and treatment. From certified technicians to expert navigators and specialized surgeons to fellowship trained breast imaging physicians, our team will work closely with you in securing a referral to our Risk Assessment Program, if needed.

Hannah Brooks, M.D. Breast Specialist at Orange Regional Medical GroupHannah L. Brooks, MD, FACS
Medical Director of Breast Surgery and Breast Specialist

Dr. Hannah Brooks is a Breast Specialist and Medical Director of Breast Surgery at Orange Regional Medical Group. She also serves as Co-Director of Orange Regional Medical Center’s Breast Program, recognized by the National Accreditation Program for Breast Centers (NAPBC) at the highest level. Dr. Brooks earned her medical degree at Albany Medical College School of Medicine and completed additional research training in tumor immunology at Cornell University Medical Center and Sloan Kettering Institute.  She is a Fellow of the American College of Surgeons, a member of the New York Metropolitan Breast Group and a member of the American Society of Breast Surgeons. Dr. Brooks is a Board Certified General Surgeon with specialized training in breast diseases and surgery with special interest and experience in high risk screening and breast cancer genetics.


Nate Margolis, MD, Medical Director of the Ray W. Moody, M.D. Breast Center.Nate Margolis, MD
Medical Director of the Ray W. Moody, M.D. Breast Center

Dr. Margolis is the Medical Director of the Ray W. Moody, M.D. Breast Center. He serves as Co-Director of Orange Regional Medical Center’s nationally accredited breast program. Dr. Margolis received his medical degree from the New York University (NYU) School of Medicine and attended the highly regarded international exchange program at the Universidad Iberoamericana in Mexico City. Dr. Margolis’ extensive experience includes serving as a breast imaging Fellow and Chief Resident of NYU’s Department of Diagnostic Radiology, where he also conducted breast cancer research. Dr. Margolis is a specialist in breast care and imaging, with professional experience that includes emphasis on breast MRI and high risk screening strategies.


Michele Worden, Orange Regional Medical Center's Breast Cancer NavigatorMichele R. Worden, BSN, RN, CBHN
Breast Cancer Patient Navigator

Michele Worden is our Breast Patient Navigator and a Registered Nurse with more than 30 years of diverse nursing experience. She received a Bachelors of Science in Nursing and is a  Clinical Breast Health Nurse with certification from the Oncology Nursing Certification Corporation. Michele has won numerous awards for her exemplary practice, among them the nationally known Daisy Award for nurses and earned a spot in the Top Twenty Hudson Valley Magazine Excellence in Nursing Award. Michele provides clinical knowledge, educational materials, health resources, information and tools to help navigate a breast cancer journey or a high risk plan.


Contact Us

For more information or to schedule your preliminary consultation with our breast specialist, please contact us at 845-333-7575.

Our team’s education, clinical and personal experiences, along with state-of-the-art technology, enables our Risk Assessment Program to provide compassionate, specialized, and optimal care to our patients.

Cancer Screenings

Patient receiving results from her cancer screening from an Orange Regional Medical Center doctor.
Throughout the year, we offer several free cancer screenings and assessments to the community including, screenings for prostate, skin, breast and oral cancers.

Cancer Support Groups & Classes

Explore our upcoming cancer support groups, healing yoga classes and events listed below in our online community calendar. To register or for more information, call 1-888-321-6762