She doesn't have breast cancer. But she did have both breasts removed and reconstructed in January to ensure as much as she can that she will never develop the disease that has struck both her mother and father.

It's the dad connection that puts René Syler, former anchorwoman for The Early Show, at such risk for breast cancer. That and the dozens of microcalcifications -- these can indicate cancer -- that repeatedly revealed themselves on mammograms and the diagnosis of atypical ductal hyperplasia that increases the risk of cancer. And while cancer was never diagnosed for this woman who was sure the disease would one day catch up with her, Syler is no stranger to the world of biopsies. And her breasts -- misshapen, shriveled, collapsed, and scarred from so many surgical procedures -- were proof of her frequent rides on the breast cancer merry-go-round.

Now Syler's breasts are gone. And she is breathing a great big sigh of relief. She calls her new "girls" incredible. And she calls her new mood "good."

"I see now that the specter of breast cancer has been permeating my life," says Syler whose story appears in the April 2007 issue of The Oprah Magazine and whose book Good-Enough Mother will be published in April.

"I couldn't really live because I was always playing defense -- watching and waiting, wondering if this would be the year I'd be diagnosed."

There are various risk factors that can contribute to the development of breast cancer. Being female is the single biggest risk factor that on its own puts all women in jeopardy. But there are other risks -- many beyond our control and some more significant than others -- that can help explain why some women are diagnosed with the most common cancer in women in the United States. And why others are not.

Each month, about 22,000 women log on to the National Cancer Institute (NCI) web site and answer seven questions to determine their risk of developing invasive breast cancer. The Gail Model, named for the NCI's chief biostatistician, Mitchell H. Gail, generates a five-year risk and a lifetime risk for each woman who answers each of these seven questions.

• Does the woman have a medical history of any breast cancer or of any ductal carcinoma in situ (DCIS) or lobular carcinoma in situ (LCIS)? Note: This assessment tool cannot accurately predict risk for a woman who already has a medical history of breast cancer.
  
• What is the woman's age? Note: This tool only calculates risk for women ages 35 and older.
  
• What was the woman's age at the time of her first menstrual period?
  
• What was the woman's age at the time of her first live birth of a child?
  
• How many of the woman's first-degree relatives -- mother, sisters, daughters -- have had breast cancer?
  
• Has the woman ever had a breast biopsy? How many breast biopsies has the woman had? Has the woman had at least one breast biopsy with atypical hyperplasia?
• What is the woman's race/ethnicity?

A simple drop-down answer menu is provided for each question, and explanations for each question are available. Upon completion of the short survey, the Gail Model spits out a five-year breast cancer risk and a lifetime breast cancer risk with comparisons to the general population of women.

While this is only an assessment -- based on statistics that do not always take into account individual differences -- it is still a helpful tool. Because it's clear that women can minimize breast cancer risk with behavior changes and sometimes medication. And generating a personal rating on risk is a rating worth knowing. It's also worth knowing that this tool was designed for use by health professionals. If you are not a health professional, consider discussing your results with your doctor.