Breast Cancer Screening Flashcards
Age bracket of breast screening program for average risk population
50-74yrs
What 3 features can help to quantify risk of breast cancer?
Two relatives (same side) = 1 point
1st degree relative = 1 point
Age <50 = 1 point
Breast Ca - How many points are needed to increase from average to moderately increased risk?
2
What category of breast cancer risk is a pt w 1 first degree relative dx at 60
Average risk (1 point for being 1st deg relative)
Breast Ca risk - Mother dx at 70 and paternal aunty diagnosed at 51
Average risk (1 point for 1st deg relative, 0 points for relatives being on different sides of family)
Breast Ca risk - Sister dx at 48
Moderate risk (1 point for 1st deg relative, 1 point for <50yrs)
Breast Ca risk - Both maternal grandmother and aunt dx at 52yrs
Average risk (1 point for two relatives on same side)
Breast Ca risk - Paternal aunty and another paternal aunty dx at 45yrs and 60yrs
Moderate risk (1 point for two relatives on same side, 1 point for dx <50)
Breast Screening for average risk women
Mammogram +/- ultrasound every 2 years from 50-74yrs
Clarify risk at FRA BOC
Breast awareness
Screening for moderate risk women
Mammogram +/- USS at least every 2 years from 50-74yrs
Mammogram +/- USS annually from 40yrs if 1st degree relative diagnosed <50yrs
Breast awareness
Clarify risk at FRA BOC
Consider referral to family cancer clinic
Examples of high risk features on history
Breast cancer dx <40yrs
Bilateral breast cancer
Breast and ovarian cancer in same woman
Ashkenazi Jewish ancestry
Breast cancer in male relative
Mum dx at 51yrs, sister dx at 58yrs
Moderate risk (1 point for 1st degree relative x2)
Aunty dx at 39yrs
Average risk (1 point for <50yrs)