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Published on: October 16, 2010
Risk-based Breast Cancer Screening: Implications of Breast Density
Christoph I Lee1, Linda E Chen2, Joann G Elmore3
1Department of Radiology, University of Washington School of Medicine, 1959 Northeast Pacific Street, Seattle, WA 98195, USA; Department of Health Services, University of Washington School of Public Health, 1959 Northeast Pacific Street, Seattle, WA 98195, USA; Hutchinson Institute for Cancer Outcomes Research, Fred Hutchinson Research Cancer Center, 1100 Fairview Avenue N, Box 19024, Seattle, WA 98109, USA.
Abstract:
The approach to breast cancer screening has changed over time from a general approach to a more personalized, risk-based approach. Women with dense breasts, one of the most prevalent risk factors, are now being informed that they are at increased risk of developing breast cancer and should consider supplemental screening beyond mammography. This article reviews the current evidence regarding the impact of breast density relative to other known risk factors, the evidence regarding supplemental screening for women with dense breasts, supplemental screening options, and recommendations for physicians having shared decision-making discussions with women who have dense breasts.
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