When Should a Woman Being Screening Mammography?

  • The U.S. Preventive Services Task Force (USPSTF) recommends:

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  • 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.

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  • 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.

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  • 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.
    • Biennial screening is recommended for women age 75 years and older if estimated life expectancy is at least 10 years.
  • References:
    1. 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.
    2. 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.
    3. 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.
    4. 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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