Women's Health: Breast & cervical screening

Second

Annual mammo. and clinical breast exam > age 40

70% found by women themselves

Age 50-74, screening mammo.

Not recommened before age 50

Interval at which screening can detect a tumor before it is symptomatic

Age 40-49, 2 years.

Age 70-74, 4 years.

Age 40-49 w/o hormones, denser breast. Lowers the sensitivity/specificity.

Schedule week 1 or 2 of menstrual cycle (follicular phase) when less dense less discomfort

Screening: baseline in asymptomatic pts.

Diagnostic: symptomatic - mass, nipple drainage, pain

Palpable lump and/or pain

Unilater u/s of symptomatic side

U/S unilateral first, then mammo. (unless done in past 12 mos)