Screening
Breast cancer screening
Who to screen, mammography interval, and shared decision points.
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Who to screen: women ages 40-74 at average or moderately increased risk. Do not use this pathway for symptoms, prior breast cancer, known high-risk genetic syndromes, or prior chest radiation.
Test and interval: screening mammography every 2-3 years for ages 40-74 when screening is chosen. Routine screening is not recommended after age 74.
Shared decision: discuss absolute benefit, false positives, and potential overdiagnosis, especially for ages 40-49. Document the patient preference and recall interval.
Additional imaging: do not use MRI or ultrasound as screening tests for women with dense breasts at average or moderately increased risk.