tailieunhanh - Current practice guidelines in primary care - part 2

Chụp nhũ ảnh và CBE hàng năm; nếu đời 20% nguy cơ ung thư vú, chụp nhũ ảnh hàng năm + MRI. Chương trình bắt đầu chụp nhũ ảnh tầm soát của tất cả các phụ nữ mỗi 3 năm. Bệnh nhân bắt đầu sàng lọc được bao phủ bởi NHS. | Disease Screening Organization Date Population Recommendationsa b Comments Source Cancer Breast continued AAFP USPSTF 2007 2002 Women aged 40 years Mammography with or without CBE every 1-2 years after counseling about potential risks and benefits. Evidence is insufficient to recommend for or against routine CBE alone or teaching or performing routine BSE. http online en home clinical http clinic uspstf CANCER BREAST ACS 2007 Women aged 40 years Mammography and CBE yearly if 20 lifetime risk of breast cancer annual mammogram MRI. http UK-NHS 2006 Women aged 50-70 years Women aged 70 years Program-initiated mammography screening of all women every 3 years. Patient-initiated screening covered by NHS. Annual vs. 3-year screening interval showed no significant difference in predicted breast cancer mortality although relative risk reduction among annually screened women had point estimates of -5 to -11 . Eur J CanCer 2002 38 1458 http . DISEASE SCREENING CANCER BREAST 11 Disease Screening Organization Date Population Recommendationsa b Comments Source CANCER BREAST Cancer Breast continued AGS 2005 Women aged 70-85 years If estimated life expectancy 5 years then offer screening mammography CBE every 1-2 years. http . org products positionpapers breast_cancer_position_ AAFP USPSTF 2007 2005 Women with familyhistory associated with increased risk for deleterious mutations in BRCA1 or BRCA2 genesc d Refer for genetic counseling and evaluation for BRCA testing. In one study nearly half of BRCA-positive women developed malignant disease detected by mammography less than 1 year after a normal screening mammogram. Cancer 2004 100 2079 http online en home clinical http clinic uspstf 12 DISEASE SCREENING CANCER BREAST Disease Screening Organization Date Population Recommendationsa b Comments Source CANCER