Breast Cancer Screening
UI Cancer Information Service
November 2010
Most already know that being screened for breast cancer is important to a woman's health. However, recent studies have stated conflicting information about the value of screening for women of different ages. There are many factors that need to be thought about when deciding at what age and how often women should be screened. Despite the inconsistent information, each woman should talk with her doctor about what is best for her.
In 2009, the United States Preventive Services Task Force released new guidelines for breast cancer screening. The task force suggested screening every two years for women ages 50 to 74 and no routine screening for women in their 40s. This is a change from the previous guidelines of annual screening starting at age 40. The American Cancer Society continues to recommend screening start at age 40.
Such conflicting advice can be confusing. To help, the Cancer Information Service has laid out a side-by-side comparison of the two sets of guidelines in an easy to read table. This information is designed to help patients discuss screening options with their doctor.
Age range
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US Preventative Services Task Force
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American Cancer Society
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40-49 years
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Screening only as requested by patient or referred by doctor.
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Each year a clinical breast exam, followed by a mammogram
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50-74 years
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Every other year, a mammogram. Clinical breast exam may or may not be included.
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Each year a clinical breast exam, followed by a mammogram
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75+ years
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Mammogram not recommended.
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Each year a clinical breast exam, followed by a mammogram
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The Breast Health Clinic at the University of Iowa Health Care offers women care for breast problems, both cancerous and non-cancerous. The clinic draws several departments into a multidisciplinary team that provides both diagnostic testing and treatment options.
Women diagnosed with breast cancer can work with the UI Breast Health Clinic's nurse coordinator to meet with all possible members of a care team, including a surgeon, a medical oncologist who works with chemotherapy, a radiation oncologist and a plastic surgeon. Meetings with a dietician or social worker are also available for additional support. This allows women to learn as much as possible about all treatment options before choosing the best individualized treatment.