Breast cancer screening resident survival guide: Difference between revisions

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==Overview==
==Overview==
Breast cancer screening is an attempt to find unsuspected cancers. The most common screening methods include: self and clinical breast exams, x-ray mammography, breast magnetic resonance imaging (MRI), ultrasound, and genetic testing.
Breast cancer screening is an attempt to find unsuspected cancers. The most common screening methods include self and clinical breast exams, x-ray mammography, breast magnetic resonance imaging (MRI), ultrasound, and genetic testing.


==BRCA Testing==
==BRCA Testing==
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==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
[[Category:Up-To-Date]]

Latest revision as of 18:47, 24 September 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Twinkle Singh, M.B.B.S. [2], Rim Halaby, M.D. [3]

Overview

Breast cancer screening is an attempt to find unsuspected cancers. The most common screening methods include self and clinical breast exams, x-ray mammography, breast magnetic resonance imaging (MRI), ultrasound, and genetic testing.

BRCA Testing

Approach to Genetic Testing

Assess women with:
❑ No previous diagnosis with BRCA related cancer, and
❑ Absence of signs and symptoms of any BRCA related cancer
 
 
 
Risk assessment: is ANY of the following history factors present?

❑ Family members with breast, ovarian, tubal or peritoneal cancer
❑ Breast cancer diagnosis before age of 50 years
❑ History of bilateral breast cancer
❑ Presence of both breast and ovarian cancer
❑ Breast cancer in one or more male family members
❑ Multiple breast cancer cases in the family
❑ One or more family members with two primary types of BRCA related cancers
❑ Ashkenazi Jewish ethnicity

 
 
 
Yes?
 
 
 
 
 
 
High risk of potentially harmful BRCA mutation based on screening?
 
 
 
Genetic counseling
❑ Risk assessment for presence of potential BRCA mutation
❑ Educating patients about the possible genetic testing results
❑ Risk assessment of family members to identify suitable candidates for genetic testing
❑ Discussion about risk reducing interventions
❑ Post-test counseling
 
 
 
BRCA mutation genetic testing

Algorithm based on the 2013 US Preventive Services Task Force recommendation statement.[1]

References

  1. Moyer VA (2013). "Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer in Women: U.S. Preventive Services Task Force Recommendation Statement". Ann Intern Med. doi:10.7326/M13-2747. PMID 24366376.