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Breast Cancer Diagnostic Algorithms for Primary Care Providers
(Third Edition, June 2005)

  Overview   Documentation of Visit  
  Important Terms   Screening Mammography  
  Screening Guidelines   Diagnostic Imaging Evaluation  
  History & Risk Assessment   Radiologic Definitions (BI-RADS®)  
  Physical Examination      


Screening Guidelines

The American Cancer Society (ACS) 2004 guidelines for early breast cancer detection consist of a clinical breast examination (CBE) every three years in women between the ages of 20 and 39 years, and annually for women aged 40 and older. Women at average risk should begin regular mammography at age 40 years. Annual breast cancer screening for women 40 and older consists of a clinical breast examination and mammographic imaging of both breasts.

Women at increased risk for breast cancer may benefit from earlier initiation of screening, screening at shorter intervals, and screening with additional methods such as ultrasound or magnetic resonance imaging (Smith, 2004).

The US Preventative Services Task Force (USPTF) 2002 guidelines recommend screening mammography, with or without clinical breast examination every 1-2 years for women aged 40 and older.

CDS requires a CBE prior to a mammogram for women being served in the Cancer Detection Programs: Every Woman Counts.

Posted: February, 2006.

 
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