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“You only get one life”

Michelle Mondello was breastfeeding her youngest child of three when she noticed a lump in her breast. Michelle was only 35 years old and had no family history of breast cancer. Because of her age and background, she wasn’t a candidate for regular mammograms. But after a biopsy at the Breast HealthCare Center at Missouri Baptist Medical Center, Michelle was diagnosed with triple-negative breast cancer (TNBC), an aggressive form of cancer that accounts for 10 to 15 percent of all breast cancers.

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Get the care you need, when you need it

Knowing where to get medical care is important, especially for sudden injuries or illnesses. For health concerns, Peter Fletcher, MD, Washington University emergency medicine physician and interim medical director of emergency medicine at MoBap, advises contacting your primary care provider first unless it’s an emergency.

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Stroke Support Group

Whether you are a stroke survivor or taking care of a loved one, we invite you to join our support group community. Stroke Coordinators from Missouri Baptist Medical Center will encourage the sharing of personal experiences and connect with others as part of the recovery.

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Cathy and Paul Benefit from Early Screening

As former smokers, Cathy and Paul both experienced the benefits of Missouri Baptist Medical Center’s (MoBap) early lung cancer screening program. 

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Mark Finds A New Path to Healing

After years of living with diabetes, Mark had developed a grade 3 non-healing wound on the bottom of his foot that kept him from standing or walking without pain. The diligent support of the Wound Healing Center team coupled with the hyperbaric oxygen therapy, Mark would find a new path to healing.

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MoBap Breast HealthCare Center CancerIQ Pilot Helps Assess Cancer Risk
Michael Bruner
/ Categories: Cancer

MoBap Breast HealthCare Center CancerIQ Pilot Helps Assess Cancer Risk

Annual screening mammograms beginning at age 40 continue to be the best tool for early detection of breast cancer in women of average risk; however, identifying women at increased risk can help patients and their physicians decide if additional imaging or other screening measures should be considered.

In October 2022, the Missouri Baptist Breast HealthCare Center began a pilot program introducing a digital questionnaire called CancerIQ into the breast screening process.

After checking in at the Breast HealthCare Center for a screening mammogram, patients are provided a tablet or a QR code to access the questionnaire on a personal device. The simple survey asks questions about their family history, lifestyle and past screenings.

“Every person’s cancer risk is based on a combination of factors,” explains Jennifer Kauffman, MoBap’s risk program nurse coordinator. “Before CancerIQ, we collected a patient’s risk information during admission. Now with CancerIQ, we have a built-in calculator that scores the answers on the questionnaire to help us quickly assess a patient’s comprehensive cancer risk.”

After a survey is completed, CancerIQ scores the answers using the National Comprehensive Cancer Network (NCCN) guidelines for calculating genetic risk for various cancers, including lung cancer. When calculating the risk score for breast cancer, the platform uses the NCCN guidelines combined with the Tyrer-Cuzick risk calculator to estimate the likelihood of a patient developing breast cancer in 10 years and over a lifetime.

“While the pilot program identifies patients at higher risk for breast cancer, it also helps us identify patients who may be eligible for genetic counseling based on a strong family history of other types of cancer, including lung cancer,” says Jennifer. “For patients at higher risk for lung cancer, we also see if they qualify for the lung screening program.”

Patients with increased genetic or hereditary risk factors for breast cancer are offered an appointment with MoBap’s Breast Cancer Risk Program and Genetic Counseling Program for further assessment, Jennifer says. Through this program, patients get comprehensive breast cancer screenings, customized surveillance plans and personalized care coordination.

A grateful patient is thankful for CancerIQ, which revealed she is at increased risk. “The questionnaire was easy to complete,” she says. As a participant in MoBap’s Breast Cancer Risk Program and Genetic Counseling Program, she qualified for additional screening and had a magnetic resonance imaging (MRI) of her breasts. “When the test result showed a small mass, doctors performed a biopsy that was negative for cancer.” She says the closer monitoring gives her peace of mind.

Jennifer says she’s heard that same sentiment from many patients. “By identifying patients at increased risk, we can intervene earlier to help preempt a cancer diagnosis. And, if cancer is detected, an early diagnosis allows for more effective treatment when the cancer is at a more curable stage.”

If you are 40 and older and have not had a recent mammogram, reserve an appointment time through online self-scheduling or call 314-996-5170 to schedule your mammogram today.

Schedule Your Mammogram

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