- The U.S. Preventive Services Task Force (USPSTF) recommends:
- Biennial (every other year) screening mammography:
- For women aged 50 to 74 years:
- With a category B recommendation.
- For women aged 50 to 74 years:
- USPSTF states that the decision to start screening mammography prior to age 50 years:
- Should be an individual one and should occur biennially if chosen:
- This is a category C recommendation.
- Should be an individual one and should occur biennially if chosen:
- For women aged 75 years and older,:
- USPSTF determined that current evidence is insufficient to make a recommendation.
- Biennial (every other year) screening mammography:
- The American College of Radiology and the Society of Breast Imaging recommend:
- Annual screening mammography beginning at age 40 years.
- They state that screening mammography may conclude:
- When life expectancy is less than 5 to 7 years on the basis of age or comorbid conditions, or when abnormal results would not be acted upon.
- The American Cancer Society recommends:
- Regular screening mammography for women beginning at age 45 years:
- With qualified recommendations for women aged 45 to 54 years to be screened annually.
- Women 55 years and older:
- To transition to biennial screening or have the option to continue annual screening.
- For women aged 40 to 44 years to have the option to begin annual screening.
- ACS recommends women continue screening mammography:
- As long as their overall health is good and life expectancy is 10 years or longer.
- Regular screening mammography for women beginning at age 45 years:
- The American Society of Breast Surgeons recommends:
- That average risk women ages 40 to 44 years discuss the risks and benefits of screening with their physicians.
- Annual mammographic screening is recommended:
- For women ages 45 to 54 years.
- Annual or biennial screening is recommended:
- For women 55 years and older:
- Based on a shared decision-making discussion of risks and benefits.
- For women 55 years and older:
- Biennial screening is recommended for women age 75 years and older if estimated life expectancy is at least 10 years.
- References:
-
- The American Society of Breast Surgeons. Consensus statement on screening mammography. https://www.breastsurgeons.org/new_layout/about/statements/PDF_Statements/Screening_Mammography.pdf. Accessed May 8, 2016.
- Lee CH, Dershaw DD, Kopans D, et al. Breast cancer screening with imaging: recommendations from the Society of Breast Imaging and the ACR on the use of mammography, breast MRI, breast ultrasound, and other technologies for the detection of clinically occult breast cancer. J Am Coll Radiol. 2010;7:18-27.
- Oeffinger KC, Fontham ET, Etzioni R, et al; American Cancer Society. Breast cancer screening for women at average risk: 2015 guideline update from the American Cancer Society. JAMA. 2015;314:1599-1614.
- Siu AL; U.S. Preventive Services Task Force. Screening for breast cancer: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2016;164:279-296.
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Rodrigo Arrangoiz MS, MD, FACS, FSSO 