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Screening Guidelines
Early detection is the key to successfully treating breast cancer. Take control of your breast health by following the screening guidelines outlined below:
General Population with average risk
- Periodic breast self-exam encouraged for women of all ages
- Clinical breast exam every one to three years between the ages of 20 and 39
- Annual clinical breast exam by age 40
- Annual mammogram starting at age 40
Strong family history or known genetic mutation carriers
- Periodic breast self-exam encouraged for women of all ages
- Annual clinical breast exam for women 24 years of age and under
- Semi-annual clinical breast exam by age 25
- Annual mammograms by age 25 for mutation carriers, and 5-10 years prior to earliest age of diagnosis in any family member for patients with a strong family history of breast cancer
- Consider annual breast MRI (stagger MRI and mammogram so as to obtain imaging every six months)
Personal history of LCIS/Atypical hyperplasia
- Periodic breast self-exam encouraged for women of all ages
- Semi-annual clinical breast exam
- Annual mammogram
Personal history of breast cancer
- Periodic breast self-exam encouraged for women of all ages
- If previous history of breast conserving therapy (i.e., lumpectomy , excisional biopsy, segmental mastectomy) the affected breast should be imaged with mammography every six months for the first two years following diagnosis and then annually thereafter
- The unaffected breast continues to be imaged with mammography on an annual basis
- Mammography of the affected side is not routinely recommended in women with a history of mastectomy with reconstruction, although institutional recommendations vary