Guidelines for Screening for Breast Cancer

• Yearly mammograms starting at age 40
• Clinical breast exam every 3 years from 20-40 and yearly after 40
• Breast MRI and mammogram every year beginning at age 30 for high risk women
• Women at moderate risk (15% to 20% lifetime risk) should talk with their doctor about adding MRI screening to their yearly mammogram

High Risk Women

• Known BRCA 1 or BRCA 2 mutation
• 1st degree relative with a BRCA 1 or BRCA 2 mutation
• Lifetime risk of breast cancer of 20% to 25% or greater
• Radiation therapy to the chest between ages 10 and 30 years
• Genetic disease such as Li Fraumeni, Cowden, or Bannayan-Riley-Ruvalcaba Syndromes or having one of these syndromes in a 1st degree relative

Moderate Risk Women

• Lifetime risk of 15% to 20%
• Personal history of breast cancer, DCIS, LCIS, ADH, ALH
• Extremely dense breasts or unevenly dense breasts on mammography