Back to Search
Start Over
Breast Cancer Screening Recommendations Inclusive of All Women at Average Risk: Update from the ACR and Society of Breast Imaging
- Source :
- Radiol Imaging Cancer
- Publication Year :
- 2021
-
Abstract
- Breast cancer remains the most common nonskin cancer, the second leading cause of cancer deaths, and the leading cause of premature death in US women. Mammography screening has been proven effective in reducing breast cancer deaths in women age 40 years and older. A mortality reduction of 40% is possible with regular screening. Treatment advances cannot overcome the disadvantage of being diagnosed with an advanced-stage tumor. The ACR and Society of Breast Imaging recommend annual mammography screening beginning at age 40, which provides the greatest mortality reduction, diagnosis at earlier stage, better surgical options, and more effective chemotherapy. Annual screening results in more screening-detected tumors, tumors of smaller sizes, and fewer interval cancers than longer screening intervals. Screened women in their 40s are more likely to have early-stage disease, negative lymph nodes, and smaller tumors than unscreened women. Delaying screening until age 45 or 50 will result in an unnecessary loss of life to breast cancer and adversely affects minority women in particular. Screening should continue past age 74 years, without an upper age limit unless severe comorbidities limit life expectancy. Benefits of screening should be considered along with the possibilities of recall for additional imaging and benign biopsy and the less tangible risks of anxiety and overdiagnosis. Although recall and biopsy recommendations are higher with more frequent screening, so are life-years gained and breast cancer deaths averted. Women who wish to maximize benefit will choose annual screening starting at age 40 years and will not stop screening prematurely.
- Subjects :
- Adult
Pediatrics
medicine.medical_specialty
Breast imaging
Breast Neoplasms
030218 nuclear medicine & medical imaging
03 medical and health sciences
Breast cancer screening
0302 clinical medicine
Breast cancer
medicine
Mammography
Humans
Mass Screening
Radiology, Nuclear Medicine and imaging
Breast
Overdiagnosis
Early Detection of Cancer
Aged
medicine.diagnostic_test
business.industry
Cancer
Middle Aged
medicine.disease
Annual Screening
030220 oncology & carcinogenesis
Research Highlights
Life expectancy
Female
business
Subjects
Details
- ISSN :
- 1558349X
- Volume :
- 18
- Issue :
- 9
- Database :
- OpenAIRE
- Journal :
- Journal of the American College of Radiology : JACR
- Accession number :
- edsair.doi.dedup.....9d7693d79da5ad1569bf1172e923872a