Breast Cancer Screening
What Is It?
Breast cancer is the most common cancer in women. Mammography screening reduces mortality by approximately 20%. Screening guidelines vary by organization; shared decision-making is key.
How Is It Diagnosed?
USPSTF: biennial mammography 40-74 (recommends discussing starting at 40). ACS: annual mammography starting at 45, with option at 40. High-risk patients (BRCA, family history): annual MRI + mammography starting at 30.
How Is It Treated?
Abnormal mammogram (BI-RADS 4-5): diagnostic mammogram and breast ultrasound, biopsy. BRCA testing for high-risk patients. Surgery, radiation, chemotherapy, or hormone therapy depending on cancer type and stage.
Tests and Imaging Typically Needed
Screening mammogram, diagnostic mammogram + ultrasound for abnormal results, MRI for high-risk, BRCA genetic testing.
Approximate Self-Pay Costs
Office visit: $95-$150. Screening mammogram: $100-$250 (preventive - often covered). Breast MRI: $500-$1,200. BRCA testing: $250-$500.