Breast Cancer Screening

A 39-year-old female presents to your office for her annual well-woman exam. She reports that she has a maternal aunt and a cousin who have had breast cancer, so she does her self-breast exams every month. She would like to start getting mammograms, but her friends all say she doesn’t need to worry about a mammogram until she’s at least close to 50.

  1. What are the mammogram recommendations from American College of Obstetrics and Gynecology (ACOG), American Cancer Society (ACS), and United States Preventive Services Task Force (USPSTF)?
  2. What is meant by shared decision-making regarding screening for breast cancer?
  3. What are the screening recommendations regarding self-breast exams and clinical breast exams?
  4. Based on the scenario provided, what recommendations would you give this patient?
  5. What factored into your decision making?
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