Breast cancer is __________ leading cause of cancer in women.
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.
Timing of mammo.
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
Symptomatic pt. < age 30
Palpable lump and/or pain
Unilater u/s of symptomatic side
Symptomatic pt. age 30-40
U/S unilateral first, then mammo. (unless done in past 12 mos)