What are the ACOG guidelines on breast cancer screening?

Updated: Apr 10, 2019
  • Author: Erin V Newton, MD; Chief Editor: Marie Catherine Lee, MD, FACS  more...
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The 2017 update of the American College of Obstetricians and Gynecologists guidelines on screening in average-risk women includes the following recommendations for practitioners [6] :

  • Use shared decision-making to select screening choices
  • Clinical breast examination may be offered every 1-3 years for women aged 29-39 years and annually for women aged ≥ 40 years
  • Start offering mammography at age 40 years; initiate after counseling, if patient desires
  • Recommend starting mammography screening by no later than age 50 years
  • Mammography may be annual or biennial; biennial screening is particularly reasonable after age 55 years
  • Continue mammography until age 75 years, then discuss discontinuation, with the woman's health status and longevity as considerations

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