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    breast cancer screening

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    1. self exam start >20 yrs old every month
    2. By physician start >40 yrs every yr
    3. Mamogram start >40 yrs every yr up to 70 yrs
    (if family risk factor start 10 yrs prior to diagnosis of youngest relative).

    correction welcome.

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    Breast Cancer Exam

    What Has Changed and Why Former guidelines (1997) Updated guidelines and information (May 2003) Explanation Women at average risk Mammography Annually starting at age 40 Nochange
    from 1997 recommendation. There is a tremendous amount ofadditional,
    credible evidence of the benefit of mammography since 1997,especially
    regarding women in their 40s. Womencan
    feel confident about the benefits associated with regular
    screeningmammography. However, mammography also has limitations: it
    will misssome cancers, and it sometimes leads to follow up of findings
    that arenot cancer, including biopsies. CBE Every three years for women 20-39; annually for women 40 and older CBEshould
    be part of a woman’s periodic health examination, about everythree
    years for women in their 20s and 30s and annually for women 40and older. CBEis
    a complement to regular mammography screening and an opportunity
    forwomen and their health care providers to discuss changes in
    theirbreasts, risk factors, and early detection testing. BSE Monthly starting at age 20 Womenshould
    report any breast change promptly to their healthcareprovider.Beginning
    in their 20s, women should be told about thebenefits and limitations of
    BSE. It is acceptable for women to choosenot to do BSE or to do it
    occasionally. Researchhas
    shown that BSE plays a small role in detecting breast cancercompared
    with self awareness. However, doing BSE is one way for womento know how
    their breasts normally feel and to notice any changes. Older women and women with serious health problems Additional research is needed. Continueannual
    mammography, regardless of age, as long as a woman does not
    haveserious, chronic health problems. For women with serious
    healthproblems or short life expectancy, evaluate ongoing early
    detectiontesting. Thereis
    a need to balance the potential benefits of ongoing
    screeningmammography in women with limited longevity against the
    limitations.The survival benefit of a current mammogram may not be seen
    for severalyears. Women known to be at increased risk Women known to be at increased risk Women with a family history of breast cancer should discuss guidelines with their doctors. Women
    known to be at increased risk may benefit from earlier initiation of
    early detection testing and/or the addition of breast ultrasound or MRI. The
    evidence available is only sufficient to offer general guidance. This
    guidance will help women and their doctors make more informed decisions
    about screening.
    CBE = Clinical Breast Exam
    BSE = Breast Self-Examination

    [IMG]/richedit/wordarts/4.gif[/IMG]

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