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* Breast cancer screening
 #795979  
  penelope24 - 12/16/14 03:55
 
  So the only info I know is we screen for it every 2 yrs from the ages of 50-75. Now what is the screening frequency if:

1. they have one first degree relative with it:

2. they are BRCA1 or BRCA2 positive:

3. there is a history of Li Freumani:

idk why I cant find that info in any of my books.

Also if anyone feels like adding how the management of it goes, I'd appreciate it. thanks!
 
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* Re:Breast cancer screening
#3170000
  mmusmle - 12/17/14 14:25
 
  Ok let me clarify in the form of question format

A pt of age 42yrs comes for annual medical exam. Her mother died at age 45yrs bec of Ca breast. What will u do next?

A) Order mammogram now
B) Tell her to get mammogram at age 50yrs
C)Offer tamoxifen now

Pl answer!! Thanks.
 
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* Re:Breast cancer screening
#3170002
  penelope24 - 12/17/14 14:27
 
  is it C?  
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* Re:Breast cancer screening
#3170009
  usmle8484 - 12/17/14 14:35
 
  C?

@mmusmle, thanks for the updated info
 
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* Re:Breast cancer screening
#3170010
  penelope24 - 12/17/14 14:37
 
  so i read that if Li Freumeni is present, we start breast cancer screening at 25. is that right?  
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* Re:Breast cancer screening
#3170011
  mmusmle - 12/17/14 14:39
 
  @usmle8484 You are most welcome. Thanks to both of you for answering the question.

No It is B

Tamoxifen only if they mention BRCA+ve in the question stem
 
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* Re:Breast cancer screening
#3170012
  mmusmle - 12/17/14 14:40
 
  @penelope No even in Li Freumeni we start at 50yrs.
 
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* Re:Breast cancer screening
#3170016
  mmusmle - 12/17/14 14:46
 
  My dear friends

Golden rule for the exam you need to make generalised summary for everything which will help in easy recall.

For ca breast screening START AT AGE 50YRS IRRESPECTIVE OF ANY HIGH RISK CONDITION.

I would request you guys to pl read the FULL summary report at least once and then make your summary . This is what I did.

Thank you!!
 
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* Re:Breast cancer screening
#3170017
  penelope24 - 12/17/14 14:50
 
  ok thank you for the q !

can you guys check out this link...it says that if you have li fraumeni then you should have annual breast screening starting around 25 yo along with colorectal cancer screening

http://www.ncbi.nlm.nih.gov/books/NBK1311/
 
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* Re:Breast cancer screening
#3170023
  usmle8484 - 12/17/14 15:04
 
  Ohhh thats right, I think tamoxifen is given when 2 first degree relative have Breast Cancer  
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* Re:Breast cancer screening
#3170024
  mmusmle - 12/17/14 15:06
 
  penelope You are welcome and thank for bringing up a nice discussion.

I read that study and yes they do recommend at age 25.

But remember for the exam they follow USPSTF guidelines and not individual studies.

That is why I recommend you to read the full summary report and it says age 50 clearly and they have discussed various scenarios too.
 
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