Mammographic screening of the high-risk woman.
Annual screening mammography beginning at age 40 is recommended for the general population. For some women at high risk for developing breast cancer at a younger age, annual screening may be appropriate starting at an earlier age. These women include those with a personal history of breast cancer, nontherapeutic radiation to the breasts especially for Hodgkin's disease, BRCA positive women, women with a family history of a first-degree relative with breast cancer at a young age, and women with a biopsy diagnosis of lobular carcinoma in situ or atypical ductal hyperplasia. Women with a biopsy diagnosis of atypical lobular hyperplasia develop breast cancer after age 40 and do not need earlier screening, unless they have a family history of breast cancer. Although increasing a woman's risk for breast cancer, radial scar does not increase risk for women younger than 40 years old and therefore does not require screening at a young age.
Dershaw
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Breast Imaging Section, Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, New York 10021, USA.
D000328:Adult; D000367:Age Factors; D001943:Breast Neoplasms / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008327:Mammography; D008875:Middle Aged; D012307:Risk Factors