By vgreene, 10 September, 2015 AAFP and USPSTF recommend against teaching self-exam; USPSTF concludes harms outweigh benefits.<sup>116,117</sup> Self-exam results in more bx and benign lesion dx, per NCI<sup>118</sup>
By vgreene, 10 September, 2015 NCCN and ACOG endorse breast self-awareness (can include self-exam, per ACOG)<sup>105,110</sup>
By vgreene, 10 September, 2015 Breast self-exam considered an option by ACS;<sup>104</sup> if pt declines, then breast self-awareness (know how breasts look/feel, report changes to clinician)
By vgreene, 10 September, 2015 Clinical breast exam annually recommended by ACOG,<sup>110</sup> ACS,<sup>104</sup> NCCN;<sup>105</sup> whereas AAFP,<sup>113</sup> USPSTF,<sup>114</sup> NCI<sup>115</sup> conclude insufficient evidence to assess benefits/harms
By vgreene, 10 September, 2015 Screening MRI or US not recommended/insufficient evidence<sup>110, 111, 112, 107,108</sup>
By vgreene, 10 September, 2015 If dense breasts: ACOG,<sup>109</sup>ACS,<sup>104</sup> NCCN<sup>105</sup> don’t recommend additional/alternative tests in asymptomatic women w/o additional risk factors
By vgreene, 10 September, 2015 USPSTF and AAFP conclude that for pts ≥75 yo, there’s insufficient evidence of benefits/harms<sup>107,108</sup>
By vgreene, 10 September, 2015 Mammography for average-risk<sup>99,100,101</sup> pts recommended by various groups; guidance varies on clinician/breast self-exam
By vgreene, 10 September, 2015 ACS recommends screening for as long as pt in good health; discuss whether to continue if short life expectancy;<sup>104</sup> ACOG notes decreasing benefits, increasing over-tx harms w/aging, and recommends discussing continued screening<sup>106</sup>