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Eligibility


Breast screening

Average risk, ages 40-49

Health care providers are encouraged to discuss the benefits and limitations (found in the Guidance tab) of screening mammography with asymptomatic women in this age group.

If screening mammography is chosen, it is available every two years. Patients will be recalled every two years. A health care provider’s referral is not required but is recommended.

Average risk, ages 50-74

Routine screening mammograms are recommended every two years for asymptomatic women at average risk of developing breast cancer. Patients will be recalled every two years. A health care provider’s referral is not required.

Average risk, ages 75+

Health care providers are encouraged to discuss the benefits and limitations (found in the Guidance tab) of screening mammography with asymptomatic women in this age group.

Health care providers should discuss stopping screening when there are comorbidities associated with a limited life expectancy or physical limitations for mammography that prevent proper positioning.

If screening mammography is chosen, it is available every two to three years. Patients will not be recalled by BC Cancer Breast Screening. A health care provider’s referral is not required but is recommended.

Higher than average risk, ages 40-74 with a first-degree relative with breast cancer

Routine screening mammograms are recommended every year. Patients will be recalled every year. A health care provider’s referral is not required.

High risk, with a known BRCA1 or BRCA2 mutation or prior chest wall radiation or strong family history of breast cancer

Age 40-74: please refer to recommendation for "Higher than average risk" women.

Under age 40: BC Cancer Breast Screening accepts women at high risk of developing breast cancer with a health care provider’s referral, provided they do not have breast implants or an indication for a diagnostic mammogram. Please discuss patient with a screening program radiologist before referral.

Other procedures

Routine breast self examinations (when used as the only method to screen for breast cancer) are not recommended for asymptomatic women at average risk of developing breast cancer.

Women should be familiar with their breast texture and appearance and bring any concerns to their health care provider. 
 
There is insufficient evidence to either support or refute routine clinical breast exams (in the absence of symptoms) alone or in conjunction with mammography. The patient and her health care provider should discuss the benefits and limitations of this procedure to determine what is best for the patient.

This excludes women with prior breast cancer history.
 
Routine screening with breast MRI of women at average risk of developing breast cancer is not recommended.

Exceptions are higher than average risk groups include: BRCA1 and/or BRCA2 carriers, first degree family relatives of BRCA1 and/or BRCA2 not tested, and prior Hodgkin’s disease (or other lymphoproliferative diseases) at a young age (between the ages of 10-30 years old) treated with chest radiation.
 

For details on screening in other age groups and government clinical practice guidelines and protocols, see the "Screening" section of "Breast Disease and Cancer: Diagnosis" at BC Guidelines.





SOURCE: Eligibility ( )
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