Breast Cancer: Risk Assessment, Screening, and Primary Prevention.

Michaels, Elena; Worthington, Rebeca Ortiz; Rusiecki, Jennifer · Med Clin North Am · 2023

review · Level V

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Abstract

This review provides an outline of a risk-based approach to breast cancer screening and prevention. All women should be assessed for breast cancer risk starting at age 18 with identification of modifiable and non-modifiable risk factors. Patients can then be stratified into average, moderate, and high-risk groups with personalized screening and prevention plans. Counseling on breast awareness and lifestyle changes is recommended for all women, regardless of risk category. High-risk individuals may benefit from additional screening modalities such as MRI and chemoprevention and should be managed closely by a multidisciplinary team.

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