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Clinical Preventive Services -
Screening - Neoplastic Diseases -
Breast Cancer
ACPM Recommendations:
Low-risk women (no family history,
familial cancer syndrome, or prior
cancer)
There is inadequate evidence for or
against mammography screening of women
under age 50. Women between ages 50 and
69 should have annual or biennial,
high-quality, two-view mammography.
Women aged 70 or older should continue
undergoing mammography screening
provided their health status permits
breast cancer treatment.
Higher-risk women
Women with a family history of
premenopausal breast cancer in a
first-degree relative or those with a
history of breast and/or gynecologic
cancer may warrant more aggressive
screening. Women with these histories
often begin screening at an earlier age,
although there is no direct evidence of
effectiveness to support this practice.
The future availability of genetic
screening may define new recommendations
for screening high-risk women.
- See the entire ACPM recommendation
at:
Screening Mammography for
Asymptomatic Women.
Rebecca L. Ferrini, MD, Elizabeth Mannin,
MD, Edith Ramsdell, MD and Linda Hill,
MD, FACPM. University of
California/California State University
General Preventive Medicine Residency
Program. Am J Prev Med.
September/October
U.S. Preventive Services Task Force
Recommendations:
The U.S.
Preventive Services Task Force (USPSTF)
recommends screening mammography, with
or without clinical breast examination (CBE),
every 1-2 years for women aged 40 and
older. B
recommendation.
The USPSTF
concludes that the evidence is
insufficient to recommend for or against
routine CBE alone to screen for breast
cancer. I
recommendation.
The USPSTF
concludes that the evidence is
insufficient to recommend for or against
teaching or performing routine breast
self-examination (BSE). I
recommendation.
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