A 44-year-old female mathematician presents to clinic with a complaint of a mass
in the right breast. Her partner noticed this mass 2 days ago, and the patient feels
guilty because she has only had one mammogram and does not engage in breast
self-examination (BSE) on any regular basis. She has no family history of breast
cancer, and her prior mammogram was ordered as a routine screening test at age 43
years after a brief discussion with her primary care provider. After a thorough
investigation reveals a benign cyst, what advice should be given to this patient
about screening for breast cancer in her age group?
a. BSE is well evidenced, and all recommending agencies agree that it should be
taught and reinforced.
b. Clinical breast examination (CBE) is superior to BSE and should be a routine
part of annual examinations starting at age 30 years.
c. This patient was in compliance with the U.S. Preventive Services Task F - c.
This patient was in compliance with the U.S. Preventive Services Task Force
(USPSTF) recommendations for her age group and risk factors prior to her current
complaint.
A 42-year-old female website developer presents for an annual preventive
examination with questions about breast cancer screening. She is concerned about
the radiation exposure associated with mammography and is interested in magnetic
resonance imaging (MRI) as a possible alternative for routine screening. She is
otherwise healthy with no family history of breast, ovarian, or colon cancer. Which
of the following is true about MRI as a screening modality for breast cancer in the
general population?
a. Breast cancer screening by MRI has been well studied in the general population.
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