來源:
http://www.uspreventiveservicestaskforce.org/uspstf/uspsbrca.htm
但是我個人推薦這個---不一刀切,根據病人的家族史和考慮其它風險,具體地推薦:
Average-Risk Women
- Monthly breast self-examination (BSE) beginning at age 20 is optional. Awareness of breast changes is encouraged.
- Annual clinical breast examination (CBE) beginning at age 25.
- Annual mammography beginning at age 40.
Women with a Family History – i.e., One or More First-Degree Relative (Parent or Sibling)
- Monthly BSE beginning at age 20 is optional. Awareness of breast changes is encouraged.
- CBE every three to six months starting no later than ten years before the earliest diagnosis in the family.
- Annual mammography starting ten years prior to the earliest diagnosis in the family (but not earlier than age 25 and not later than age 40).
- Consider annual MRI. (Consider performing MRI and mammography at alternating six-month intervals. Consult with your physician.)
Women with a Diagnosis of Atypical Hyperplasia or Lobular Carcinoma In Situ
- Monthly BSE beginning at age 20 is optional. Awareness of breast changes is encouraged.
- CBE every three to six months
- Annual mammography beginning at the time of diagnosis.
- Consider annual MRI. (Consider performing MRI and mammography at alternating six-month intervals. Consult with your physician.)
Women with a History of Mantle Radiation
- Monthly BSE beginning at age 20 is optional. Awareness of breast changes is encouraged.
- CBE every three to six months beginning at the time of diagnosis.
- Annual mammography starting eight years after radiation treatment.
- Consider annual MRI.
