Updates for Healthcare Professionals

AMERICAN CANCER SOCIETY (ACS) SCREENING RECOMMENDATIONS

  • Yearly mammograms starting at age 40 and continuing for as long as a woman is in good health.
  • Clinical breast exams (CBE) about every 3 years for women in their 20s and 30s and every year for women 40 and over.
  • Women should know how their breasts normally look and feel and report any breast change promptly to their healthcare provider. The ACS neither recommends for or against breast self- examination (BSE).  Breast self-exam (BSE) is an option for women starting in their 20s.
  • Some women– because of their family history, a known or potential genetic predisposition to breast cancer, or certain other risk factors – should be screened with MRI in addition to mammograms beginning at age 30. (The number of women who fall into this category is small: less than 2% of all the women in the US.)

UNITED STATES PREVENTIVE SERVICES TASK FORCE (USPSTF) SCREENING RECOMMENDATIONS

  • USPSTF recommends biennial screening mammography for women aged 50-74 years (grade B).
  • 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 (grade C).
  • USPSTF concludes that the current evidence is insufficient to assess the additional benefits and harms of screening mammography in women 75 years or older (grade I).
  • USPSTF recommends against teaching breast self-examination (BSE) (grade D).
  • USPSTF concludes that the current evidence is insufficient to assess the additional benefits and harms of clinical breast examination (CBE) beyond screening mammography in women 40 years or older (grade I).
  • USPSTF concludes that the current evidence is insufficient to assess the additional benefits and harms of either digital mammography or magnetic resonance imaging (MRI) instead of film mammography as screening modalities for breast cancer (grade I).