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Screening in women 40 to 49 years old.(MAMMOGRAPHY)

JAAPA-Journal of the American Academy of Physicians Assistants

| November 01, 2007 | Leger, Marle-Michele; McNellis, Robert | COPYRIGHT 2009 Haymarket Media, Inc. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

Who should read this?

Physician assistants providing medical care for women in their fifth decade of life.

Why is this important?

The optimal age to begin breast cancer screening with mammography is controversial. Over the past 20 years, federal agencies and professional organizations have released a variety of recommendations addressing the topic. (1) The controversy exists at least in part because mammography in women aged 40 to 49 years is less beneficial than it is in older women. (2,3) The issue is important because breast cancer is the second most common cancer in women and the second leading cause of cancer deaths in women in the United States. The American Cancer Society estimates that in 2007, there will be 178,480 new cases of breast cancer and 40,460 breast cancer-related deaths in women. (4) The risk of developing breast cancer increases with advancing age. Cancer surveillance data indicate that 1.4% of 40-year-old women will develop breast cancer in the next 10 years compared to 4.0% of 70-year-old women. (5)

What's new?

In April 2007, the American College of Physicians (ACP) released clinical practice guidelines to increase clinicians' understanding of the risks and benefits of screening mammography for women aged 40 to 49 years. (3) The guidelines emphasize an individualized approach to help women make informed decisions about when to begin mammography. The recommendations are based on a systematic review of studies that examined the impact of…

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Source: HighBeam Research, Screening in women 40 to 49 years old.(MAMMOGRAPHY)

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