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Review
. 2023 Mar;107(2):271-284.
doi: 10.1016/j.mcna.2022.10.007.

Breast Cancer: Risk Assessment, Screening, and Primary Prevention

Elena Michaels  1 , Rebeca Ortiz Worthington  1 , Jennifer Rusiecki  2
Affiliations
Review

Breast Cancer: Risk Assessment, Screening, and Primary Prevention

Elena Michaels et al. Med Clin North Am. 2023 Mar.

Abstract

This review provides an outline of a risk-based approach to breast cancer screening and prevention. All women should be assessed for breast cancer risk starting at age 18 with identification of modifiable and non-modifiable risk factors. Patients can then be stratified into average, moderate, and high-risk groups with personalized screening and prevention plans. Counseling on breast awareness and lifestyle changes is recommended for all women, regardless of risk category. High-risk individuals may benefit from additional screening modalities such as MRI and chemoprevention and should be managed closely by a multidisciplinary team.

Keywords: Aromatase inhibitors; Breast MRI; Breast cancer; Breast cancer risk; Chemoprophylaxis; Mammogram; Prophylactic surgery; SERM.

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