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The early detection of breast cancer: An update from the Red book
1MD, MBBS, FRACGP, DRANZCOG, GradDipWH, GAICD, Monash University, Vic; Head of Department of General Practice, Monash University, Melbourne, Vic; Chief Investigator and Director, National Health and Medical Research Council (NHMRC) Centre of Excellence in Sexual and Reproductive Health for Women in Primary Care (SPHERE), Department of General Practice, Monash University, Melbourne, Vic.
Background:
Breast cancer is the most common cancer affecting women and a leading cause of cancer-related deaths in Australia. Early detection through regular screening significantly improves survival rates and treatment outcomes.
Objective:
This article provides an updated overview of breast cancer screening recommendations from The Royal Australian College of General Practitioners' (RACGP) 'Guidelines for preventive activities in general practice' (Red book), emphasising the critical role of general practitioners (GPs) in assessing individual risk and guiding preventive strategies.
Discussion:
GPs should undertake an individualised risk assessment with each patient. Understanding risk levels enables personalised screening and prevention recommendations. While women with dense breasts are more likely to benefit from supplemental screening modalities, there is currently insufficient evidence to recommend routine supplemental screening for this patient group. Lifestyle factors significantly impact breast cancer risk and patients should be counselled about this. Technological advancements and personalised medicine will continue to shape breast cancer detection and management moving forward.
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