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Screening guidelines for breast cancer

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Assembly version: 1. This version of this topic is currently archived and inactive. It should be used for historical purposes only. The decision to start regular, biennial screening mammography before the age of 50 years should be an individual one and take patient context into account, including the patient's values regarding specific benefits and harms. The USPSTF concludes that the current evidence is insufficient to assess the benefits and harms of screening mammography in women 75 years and older.
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Breast Cancer: Screening

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USPSTF Guidelines on Breast Cancer Screening

Assembly version: 1. To watch a video about this final recommendation and learn more, click here. The decision to start screening mammography in women prior to age 50 years should be an individual one. Women who place a higher value on the potential benefit than the potential harms may choose to begin biennial screening between the ages of 40 and 49 years. Of all of the age groups, women aged 60 to 69 years are most likely to avoid breast cancer death through mammography screening. While screening mammography in women aged 40 to 49 years may reduce the risk for breast cancer death, the number of deaths averted is smaller than that in older women and the number of false-positive results and unnecessary biopsies is larger. The balance of benefits and harms is likely to improve as women move from their early to late 40s.
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Women's Health Care Physicians

Among the changes, however, is an emphasis on patient—provider shared decision making to help women make informed, individualized decisions about when to start screening, the frequency of screening and when to end screening. Zahn, M. This patient-centered, individualized approach empowers women to fully consider their breast cancer screening options and take an active and informed role in their health care. Breast cancer is the most commonly diagnosed cancer in women and the second leading cause of cancer death in American women.
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All women need to be informed by their health care provider about the best screening options for them. When you are told about the benefits and risks of screening and decide with your health care provider whether screening is right for you—and if so, when to have it—this is called informed and shared decision-making. Although breast cancer screening cannot prevent breast cancer, it can help find breast cancer early, when it is easier to treat. Talk to your doctor about which breast cancer screening tests are right for you, and when you should have them.
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