What are the ACOG guidelines on breast cancer screening?

Updated: Oct 17, 2016
  • Author: Nagwa Dongola, MD, FRCR; Chief Editor: Peter Eby, MD  more...
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Answer

Women should be educated on the predictive value of screening mammography and the potential for false-positive results and false-negative results; women should be informed of the potential for additional imaging or biopsies that may be recommended based on screening results

  • Women aged 40 years and older be offered screening mammography annually

  • Biennial screening may be a more appropriate or acceptable strategy to some women, and recommends the screening strategy should therefore be determined based on the patient's individual risk and values.

  • Breast magnetic resonance imaging (MRI) is not recommended for screening women at average risk of developing breast cancer

  • Women who are estimated to have a lifetime risk of breast cancer of 20% or greater, based on risk models that rely largely on family history (such as BRCAPRO, BODACEA, or Claus), but who are either untested or test negative for BRCA gene mutations, can be offered enhanced screening

  • For women who test positive for BRCA1 and BRCA2 mutations, enhanced screening should be recommended and risk reduction methods discussed


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