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American College of Radiology

Breast Cancer Screening

Adapted from U.S. Preventive Services Task Force (USPSTF) Recommendations and Guidelines from the NCCN Breast Cancer Screening and Diagnosis Guidelines 1.2014 

Average risk: 

  • 25-40 years old: Clinical breast exam every 1-3 years and breast awareness.
  • 40-50 years old: Annual clinical breast exam. Breast awareness. Consider Screening Mammogram every 1-2 years once benefits and potential harms discussed with internist.
  • 50 years old and over: Annual clinical breast exam. Breast awareness. Screening Mammogram every 1-2 years.

Intermediate or High risk:

Risk factors include:

  • Personal history of breast cancer
  • Family history of breast cancer
  • 5-year risk of invasive breast cancer ≥1.7% in women ≥35 years old (as calculated by the Gail Model)
  • Lobular carcinoma in situ
  • Atypical hyperplasia
  • BRCA gene mutations
  • Radiation therapy to the chest between the ages of 10 and 30 years old.

Recommendations:

Clinical breast exam every 6-12 months. Breast awareness. Annual screening mammogram staggered with an annual breast MRI starting at age 30, or 10 years before the age of first-degree relative with breast cancer, or 8 years after radiation but not before age 25.

 

 

 

*Screening recommendations for women with higher than average risk is evolving. Individual risk should be discussed with your internist. If your risk is unclear, an internist may refer you to a breast cancer specialist (surgeon or oncologist) for further evaluation*