You may recall, in November 2009, the US Preventive Services Task Force released new recommendations on screening mammography. Here is a summary:
- The USPSTF recommends biennial screening mammography for women aged 50 to 74 years.
- The decision to start regular, biennial screening mammography before the age of 50 years should be an individual one and take patient context into account, including the patient's values regarding specific benefits and harms.
- Screening mammography should begin at age 40 for women with average-risk of breast cancer.
- Women at higher-risk should begin by age 30, but no sooner than 25.
- Women who have at least a 20% lifetime risk of breast cancer, on the basis of family history, also should begin annual breast MRI by age 30, in addition to annual mammography.
- Breast ultrasound may also be recommended in addition to mammography for high-risk women and those with dense breast tissue that is often difficult to assess by conventional mammography