By vgreene, 10 September, 2015 Annual mammography screen recommended by ACR,<sup>102</sup> ACOG,<sup>103</sup> ACS,<sup>104</sup> NCCN,<sup>105</sup> w/o upper age limit
By vgreene, 10 September, 2015 AAFP recommends against teaching self-exam;26 self-exam results in more bx and benign lesion dx, per NCI27
By vgreene, 10 September, 2015 BSE not recommended due to lack of evidence (ACS25); however, women should be familiar w/ normal look/feel of breasts and report changes to provider25
By vgreene, 10 September, 2015 CBE not recommended due to lack of evidence ACP 26 ACS15 insufficient evidence to assess benefits harms AAFP 27 NCI 28 USPSTF24
By vgreene, 10 September, 2015 Annual or biennial mammography for average risk1 3 pts recommended by various groups guidance varies on tomosynthesis 4 6 breast exam
By vgreene, 10 September, 2015 If dense breasts Additional alternative tests in asymptomatic women w o additional risk factors not recommended ACOG21 NCCN22 recommends counseling re risks vs benefits of supplemental screening insufficient evidence for US MRI breast tomosynthesis AAFP 2
By vgreene, 10 September, 2015 Biennial mammography screening recommended (ACP,7 AAFP,8 USPSTF9). Discuss evidence, pt preferences, benefits10/harms11,12
By vgreene, 10 September, 2015 ACS15 recommends annual mammography for women 45 54 yo after age 55 transition to biennial screening or offer choice to continue annual mammography continue screening as long as good health life expectancy 10y