Screening women at high risk of breast cancer on the basis of evidence.

摘要: Geneticists are able to identify the risk of breast cancer. Strategies on offer include prevention, early diagnosis by screening, and prophylactic surgery. This paper analyses evidence for offering screening. The radiation dose mammography has been measured, but is not fully known. Mammography screening women 40-50 years in normal population known effect. Little available under 40 or with genetic susceptibility Dense parenchymal pattern associated high grade cancers, both a factor reason impaired sensitivity. Whether this applies younger at speculative. pathological features cancers gene carriers show differences from those occurring women. work should be correlated imaging features. There no literature support use newer methods these Ultrasound MRI avoid may useful dense breasts. SestaMIBI PET scanning yet mature enough never have such role. Any modality must subjected formal randomised trial before being offered screen risk.