Screening for Breast Cancer in Average-Risk Women

Publication Date: April 16, 2019
Last Updated: March 14, 2022

Guidance Statements

In average-risk women aged 40 to 49 years, clinicians should discuss whether to screen for breast cancer with mammography before age 50 years. Discussion should include the potential benefits and harms and a woman's preferences. The potential harms outweigh the benefits in most women aged 40 to 49 years.
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In average-risk women aged 50 to 74 years, clinicians should offer screening for breast cancer with biennial mammography.
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In average-risk women aged 75 years or older or in women with a life expectancy of 10 years or less, clinicians should discontinue screening for breast cancer.
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In average-risk women of all ages, clinicians should not use clinical breast examination to screen for breast cancer.
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Recommendation Grading

Overview

Title

Screening for Breast Cancer in Average-Risk Women

Authoring Organization

American College of Physicians

Publication Month/Year

April 16, 2019

Last Updated Month/Year

June 12, 2023

Supplemental Implementation Tools

Document Type

Guideline

External Publication Status

Published

Country of Publication

US

Inclusion Criteria

Female, Adult

Health Care Settings

Ambulatory, Hospital, Radiology services

Intended Users

Radiology technologist, psychologist, nurse, nurse practitioner, physician, physician assistant

Scope

Assessment and screening

Diseases/Conditions (MeSH)

D055088 - Early Detection of Cancer

Keywords

oral contraceptive, breast cancer screening, women's health