By vgreene, 8 September, 2015 If hx chest RT: Start screening 8y after RT, but not before 25 yo (ACR6); NCCN11 says start screening 10y after RT, but not before 30 yo (for mammogram) and not before 25 yo (for MRI)
By vgreene, 8 September, 2015 If high risk due to FHx: Start annual screening 10y before youngest 1st-degree relative dx, but not
By vgreene, 8 September, 2015 Start screening: @ 30 yo for most pts (ACS7), 25-30 yo (ACR6); consider shared decision-making, as data limited (ACS7); begin screening mammogram 10y prior to youngest family member's age at time of breast CA, but not prior to 30 yo (NCCN8)
By vgreene, 8 September, 2015 Annual breast MRI + mammogram recommended;6-9 ACR6 rates tomosynthesis equivalent w/ mammography, NCCN8 includes tomosynthesis as a consideration. ACR6 specifies MRI (w/ & w/o contrast). Use US if MRI not an option (ACOG,9 ACR10). Use facility capable of
By vgreene, 8 September, 2015 Above average risk Personal hx invasive breast CA DCIS ALH LCIS ADH confirmed suspected gene mutation in pt or confirmed gene mutation in 1st deg relative hx chest radiation tx btwn ages 10 30 or 15 lifetime risk per FHx based tool