Breast Cancer Screening Case

A 40-year-old African-American woman comes in today for a full checkup. She is feeling well and has not seen a doctor in several years because her job does not provide health insurance. The only medication she takes is an oral contraceptive. She has no chronic medical conditions, her 19 year old daughter is well, and her family history is negative for any cancers or early heart disease.

What is the recommended age to start breast cancer screening?

  1. She should start having annual mammograms now (at age 40).
  2. She does not need annual mammograms until age 50.
  3. There is no clear answer. Recommendations for screening vary among professional and specialty organizations.
Breast Cancer Case

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