Breast Screening Recommendations

November, 17 2009

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	New U.S. Preventive Services Task Force Guidelines (2009)	Prior USPSTF Guidelines (2002)	American Cancer Society Guidelines
Mammograms Age 49 and younger Age 50–74 Age 75+	No routine screening. Screening may be considered on an individual basis, depending on patient context and patient's values regarding benefits and harms. Screening mammography every two years No recommendation	Age 40+: Screening mammogram every 1–2 years.	Age 40+: Screening mammogram every year.
Digital mammography and MRI	No recommendation	No recommendation	Recommend annual MRI for women at high risk; women at moderate risk should discuss the option with health care provider
Breast self-exam	Recommends against health care providers teaching women to do self-exams	No recommendation	Age 20+: An option; recommend knowing how your breasts normally feel
Clinical breast exam	No recommendation	No recommendation	Age 20–39: About every 3 years Age 40+: Annually

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