Exam 2 - Breast screening guidelines

Question 1

American Academy of Family Physicians: breast cancer screening guidelines

• Average risk

Answer 1

• Ages 40-49 years: individualized
  
  • May begin screening every 2 years
• Ages 50-70 years: every two years

Question 2

American Academy of Family Physicians: breast cancer screening guidelines

• Higher than average risk

Answer 2

Women with first degree relatives with breast cancer may benefit from beginning in their 40s

Question 3

American Cancer Society: breast cancer screening guidelines

• Average risk

Answer 3

• Ages 40-44: choice to start screening or not
• Ages 45-54: annual mammograms
• Ages 55-74: every 2 years (but can screen annually)
• Ages 75+: screening continues as long as woman is in good health and expected to live 10+ years

Question 4

ACOG: breast cancer screening guidelines

• Average risk

Answer 4

• Ages 40-74: annual mammogram AND clinical breast exam
• Ages 75+: decide to continue after consultation with provider

Question 5

American Cancer Society: breast cancer screening guidelines

• Higher than average risk

Answer 5

Women with parent, sibline, child with BRCA mutation should have MRI and mammogram annually

Question 6

ACOG: breast cancer screening recommendations

• Higher than average risk

Answer 6

• Considered high risk with positive BRCA mutation
• Clinical breast exam every 6 months, MRI annually, and self breast exam
• If women received thoracic radiation at ages 10-30 years old
  
  • Annual mammography and MRI
  • CBE every 1-2 years beginning 8-10 years after radiation treatment, or at age 25