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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
#3169669
  mmusmle - 12/16/14 18:47
 
  Screening remains the same irrespective of any risk factors. I posted this question long time back. Only you give tamoxifen if BRCA + and had family history of ca breast.  
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* Re:Breast cancer screening
#3169856
  usmle8484 - 12/17/14 09:18
 
  I think age is 40 and older every 2 years  
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* Re:Breast cancer screening
#3169926
  mmusmle - 12/17/14 12:36
 
  @usmle8484 No my dear friend it is 50yrs for age as per latest guidelines.  
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* Re:Breast cancer screening
#3169939
  usmle8484 - 12/17/14 12:47
 
  Why does it say in MTB2 its 40?

and USPSTF also says it:

Breast cancer screening:The USPSTF recommends screening mammography for women, with or without clinical breast examination, every 1 to 2 years for women age 40 years and older.

http://www.uspreventiveservicestaskforce.org/Page/Name/uspstf-a-and-b-recom...mendations/
 
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* Re:Breast cancer screening
#3169942
  usmle8484 - 12/17/14 12:49
 
  Please Let me know if there is another update on this
thank you
 
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* Re:Breast cancer screening
#3169952
  penelope24 - 12/17/14 13:14
 
  yeah thats why i was confused. i know its at 50 and every 2 yrs but i think if there are risk factors you start at 40 and do it every year???

is that right?
 
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* Re:Breast cancer screening
#3169960
  usmle8484 - 12/17/14 13:33
 
  I think now its a general rule at 40, as if started from 40 few cases which were missed when started from 50 , can be counted
does that make sense

or to be more specific
According to MTB:
"On average, you will detect 10 cases of breast cancer by screening 1000 women above age 50, but you will detect only 2 cancers by screening 1000 women between the ages of 40 and 49."
 
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* Re:Breast cancer screening
#3169964
  penelope24 - 12/17/14 13:35
 
  ok thank you for clarifying.

and do we test anyone for brca 1 and 2 at a certain time if they ahve a FH of breast ca?
 
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* Re:Breast cancer screening
#3169983
  mmusmle - 12/17/14 14:00
 
  @usmle8484

you are reading the old 2002 recommendations . Pl read the latest of 2009 recommendations in this link where it clearly says starting age 50yrs

http://www.uspreventiveservicestaskforce.org/Page/Topic/recommendation-summar...r-screening

If you read the whole recommendations in detail which is like many pages then you come to the conclusion as below.

start screening at age 50yrs.
Screening remains the same irrespective of any risk factors. I posted this question long time back. Only you give tamoxifen if BRCA + and had family history of ca breast.

Mtb2 is wrong there.
 
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* Re:Breast cancer screening
#3169989
  usmle8484 - 12/17/14 14:07
 
  BRCA risk assessment
and genetic counseling/testing:

The USPSTF recommends that primary care providers screen women who have family members with breast, ovarian, tubal, or peritoneal cancer with one of several screening tools designed to identify a family history that may be associated with an increased risk for potentially harmful mutations in breast cancer susceptibility genes (BRCA1 or BRCA2). Women with positive screening results should receive genetic counseling and, if indicated after counseling, BRCA testing.

I am not sure about a certain time though
 
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