Clinical Edge

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Breast Cancer Screening Guideline

ACS guideline says screen later, less often

The American Cancer Society’s (ACS) updated breast cancer screening guideline for women at average risk for breast cancer states that women should start getting mammograms at age 45 years instead of 40 and that these screenings may not be needed as often. Among the ACS recommendations for women at average risk of breast cancer are:

• Women should undergo regular screening mammography starting at age 45 years.

• Women aged 45 to 54 years and older should be screened annually.

• Women aged 55 years and older should transition to biennial screening or have the opportunity to continue screening annually.

• Women should have the opportunity to begin annual screening between the ages of 40 and 44 years.

• Women should continue screening mammography as long as their overall health is good and they have a life expectancy of 10 years or longer.

• Clinical breast examination for breast cancer screening among average-risk women at any age is not recommended.

Citation: Oeffinger KC, Fontham ETH, Etzioni R, et al. Breast cancer screening for women at average risk: 2015 guideline update from the American Cancer Society. JAMA. 2015;314(15):1599-1614. doi: 10.1001/jama.2015.12783.