Breast Cancer Screening

Question 1

Age bracket of breast screening program for average risk population

Answer 1

50-74yrs

Question 2

What 3 features can help to quantify risk of breast cancer?

Answer 2

Two relatives (same side) = 1 point
1st degree relative = 1 point
Age <50 = 1 point

Question 3

Breast Ca - How many points are needed to increase from average to moderately increased risk?

Answer 3

2

Question 4

What category of breast cancer risk is a pt w 1 first degree relative dx at 60

Answer 4

Average risk (1 point for being 1st deg relative)

Question 5

Breast Ca risk - Mother dx at 70 and paternal aunty diagnosed at 51

Answer 5

Average risk (1 point for 1st deg relative, 0 points for relatives being on different sides of family)

Question 6

Breast Ca risk - Sister dx at 48

Answer 6

Moderate risk (1 point for 1st deg relative, 1 point for <50yrs)

Question 7

Breast Ca risk - Both maternal grandmother and aunt dx at 52yrs

Answer 7

Average risk (1 point for two relatives on same side)

Question 8

Breast Ca risk - Paternal aunty and another paternal aunty dx at 45yrs and 60yrs

Answer 8

Moderate risk (1 point for two relatives on same side, 1 point for dx <50)

Question 9

Breast Screening for average risk women

Answer 9

Mammogram +/- ultrasound every 2 years from 50-74yrs
Clarify risk at FRA BOC
Breast awareness

Question 10

Screening for moderate risk women

Answer 10

Mammogram +/- USS at least every 2 years from 50-74yrs
Mammogram +/- USS annually from 40yrs if 1st degree relative diagnosed <50yrs
Breast awareness
Clarify risk at FRA BOC
Consider referral to family cancer clinic

Question 11

Examples of high risk features on history

Answer 11

Breast cancer dx <40yrs
Bilateral breast cancer
Breast and ovarian cancer in same woman
Ashkenazi Jewish ancestry
Breast cancer in male relative

Question 12

Mum dx at 51yrs, sister dx at 58yrs

Answer 12

Moderate risk (1 point for 1st degree relative x2)

Question 13

Aunty dx at 39yrs

Answer 13

Average risk (1 point for <50yrs)