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Published on: October 31, 2025
Breast cancer screening: an evidence-based update.
Mackenzie S Fuller1, Christoph I Lee2, Joann G Elmore1
1Department of Medicine, University of Washington, 325 Ninth Avenue, Mailbox 359780, Seattle, WA 98104, USA.
Most guidelines recommend routine screening mammography for women aged 50 and older. Discussing the benefits and risks allows for shared decision-making about screening participation, age, and intervals.
Area of Science:
- Oncology
- Radiology
- Preventive Medicine
Background:
- Routine screening mammography is a widely adopted practice for breast cancer detection.
- Guidelines generally recommend screening for women aged 50 and above.
- Patient-specific factors necessitate careful consideration beyond general recommendations.
Purpose of the Study:
- To emphasize the importance of shared decision-making in mammography screening.
- To highlight the need for individualized discussions regarding screening protocols.
Main Methods:
- Review of current breast cancer screening guidelines.
- Analysis of benefits and risks associated with screening mammography.
- Emphasis on patient-provider communication strategies.
Main Results:
- Screening mammography is broadly recommended, particularly for women 50 years or older.
- A balanced discussion of potential benefits and risks is crucial for informed choices.
- Individualized approaches are necessary for optimal screening decisions.
Conclusions:
- Shared decision-making is essential for effective breast cancer screening.
- Patients should be actively involved in decisions about mammography screening.
- Tailoring screening to individual patient circumstances improves outcomes.
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