Update in Breast Cancer screening; ACS recommendations and Jama article attached

The American Cancer Society has published updated guidelines for Breast Cancer Screening.  The bottom line recommendations are in “average risk women” to begin and continue yearly screening from ages 45-54 (with a “personal option” of starting at age 40).  From age 55 up to “10 year life expectancy”, yearly or biennial screening is appropriate.  As always these are “general” recommendations, and individual decisions should be made in the context of patient/health care provider discussion.

http://jama.jamanetwork.com/article.aspx?articleid=2463262

The table below indicates who would NOT be considered “average risk” and may benefit from BRCA gene testing: (from MKSAP 16)

USPSTF-Recommended BRCA1/BRCA2 Gene Mutation Testing Criteria in Women of Non-Ashkenazi Jewish Descent

Two first-degree relatives with breast cancer, one at age 50 years or younger

A combination of three or more first- or second-degree relatives with breast cancer

A combination of both breast and ovarian cancer among first- or second-degree relatives

A first-degree relative with bilateral breast cancer

A combination of two or more first- or second-degree relatives with ovarian cancer

A first- or second-degree relative with both breast and ovarian cancer

A male relative with breast cancer

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