Breast Cancer Screening: New Recommendations

By Aurora Sedmak, ND

 

As research continues to find new treatments for cancer, research also continues to find the best ways to screen for cancer. The United States Preventive Services Task Force (USPSTF) has recently released new breast cancer screening test recommendations based on studies done since 2002. Here are the new recommendations:

  • Biennial (every two years) mammography imaging for women ages 50 to 75
  • Mammography imaging decision-making for women between 50 and 75 years old should be individualized to each woman
  • At-home breast self-examination is not recommended
  • Magnetic Resonance Imagine (MRI) and digital mammography are not recommended as screening methods

As you may have noticed, the biggest differences are 1) changing the screening mammography starting age from 40 years old to 50 years old, 2) stopping screening mammography at 75 years old, 3) discouraging breast self-examinations and 4) the necessity for screening mammography for women ages 50 to 75 seems to be less, with the USPSTF recommending mammography only every two years, and this recommendation stems upon the individual needs and desires of each woman. This means that the screening can be done more or less than every two years depending the discussion between each woman and her primary care physician.


The USPSTF arrived at these conclusions based on the accuracy of discovering breast cancer using the screening measures laid out in 2002, which included yearly screening mammography starting at 40 years old and at-home breast self-examination. According to the studies done since 2002, there has been insufficient "evidence to assess benefit and harm" of these measures in discovering breast cancer.


You can find out more information at: http://www.ahrq.gov/clinic/uspstf/uspsbrca.htm.