A 43-year-old woman with a history of diabetes mellitus, hypertension and trigeminal neuralgia presents with daily headaches of 6 months’ duration. She has not seen a physician in 3 years. Her headaches have prevented her from completing normal daily tasks. You find that she has not had any age-appropriate cancer screening. She has a grandmother who developed invasive ductal carcinoma of the left breast at the age of 60 years. What is the current recommendation for breast cancer screening for this patient?
- Screening mammogram 5 years earlier than her grandmother’s diagnosis age
- Screening mammogram every 4 years
- Screening mammogram every 6 months
- Screening mammogram every 1–2 years
- There is no necessity for mammography at this time
Screening mammography, with or without clinical breast examination (CBE) is recommended every 1–2 years for women above the age of 40 years. Screening mammography is not recommended for women below the age of 40 years because the incidence of breast cancer is very low and also because the breasts have dense fibrous tissue, making interpretation difficult.
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