Table 1. Breast cancer screening recommendations in young women7,27,39,42,51.
Population | BSA | BSE | CBE | Mammography | MRI |
---|---|---|---|---|---|
Healthy young women | Recommended from age 20a,b,c | Optionala,b,c | Every 1–3 y from age 20a,b,c | __ | __ |
BRCA family or lifetime risk of BC > 20% | BSA including training for BSE from age 18b | Training from age 18b Monthly BSE from age 25 or earlier depending on earliest age of BC in familya,b,c |
Every 6–12 mo from age 25b | Annually from age 25 or individualize based on earliest age of BC in familya,b Annually from age 30c |
Annually from age 25 or individualize based on earliest age of BC onset in familya,b Annually from age 30c |
Past thoracic radiation between 10–30 years of age | Recommended even prior to age 25b | Monthly from age 25 or 8–10 y after treatment, whichever is latera,c | Every 6–12 mo from age 25 or 8–10 y after treatment, whichever is latera,b If age < 25, annual CBE starting 8–10 y after treatmentb |
Annually from age 25 years or 8–10 y after treatment, whichever is latera,b Annually from age 30c |
Annually from age 25 or 8–10 y after treatment, whichever is latera Consider as above but evidence lackingb Yearly from age 30c |
Abbreviations: BSA, breast self awareness; BSE, breast self examination; CBE, clinical breast examination; MRI, magnetic resonance imaging; BC, breast cancer; y, years.
Recommended by the American College of Obstetricians and Gynecologists.
Recommended by the National Comprehensive Cancer Network.
Recommended by the American Cancer Society.