Module 7 breast cancer

Question 1

screening options (5)

Answer 1

mammogram
MRI
clinical/self breast exam 
genetic testing
breast US

Question 2

USPSTF women aged 50-74

Answer 2

biennial screening mammography

Question 3

USPSTF women aged 40-49

Answer 3

Women who place a higher value on the benefit than the harms may choose to begin biennial screenings

Question 4

USPSTF women >75

Answer 4

current evidence insufficient regarding mammograms

Question 5

USPSTF all women digital breast exam

Answer 5

current evidence is insufficient

Question 6

USPSTF women with dense breasts

Answer 6

evidence insufficient for screening with US, MRI, digital exam with otherwise negative mammogram

Question 7

false positive mammogram

Answer 7

younger women and in women with dense breasts
women taking estrogen
Dx of ductal carcinoma in situ: non-invasive tumor

Question 8

False negative mammogram

Answer 8

can miss up to 20% of cancers

more common in women with dense breasts, therefore more common in younger women

Question 9

Breast MRI

Answer 9

not recommended as a routine screening
- higher risk false +
- more expensive
- not as available
ACS recommends:
- all women with a >20% risk have a yearly mammogram AND MRI
- women with 15-20% risk should consider MRI

Question 10

Factors that increase breast cancer risk

Answer 10

BRCA1/2 gene 
1st degree relative with BRCA1/2
lifetime risk of breast cancer 20-25%
- risk assessment tools 
Radiation therapy to chest
Another type of cancer between ages 10-30 
Genetic disease: self or 1st degree relative 
- Li-Fraumeni
- Cowden syndrome
- Bannayan-Riley-Ruvalcaba syndrome

Question 11

Clinical breast exam and self exam

Answer 11

no longer addressed by USPSTF

not recommended by ACS