By vgreene, 13 September, 2017 Counsel average risk pts to become familiar w normal look feel of their breasts and report changes pain mass new onset nipple d c or redness to clinicians NCCN 2A ACOG C 1 5 9 12
By vgreene, 13 September, 2017 However NCCN1 recommends that annual clinical encounter include CBE as does ACOG5 in the context of shared informed decision making approach ACOG C
By vgreene, 13 September, 2017 Modalities AAFP 2 USPSTF 3 and ACR8 rate tomosynthesis equivalent to mammography alone ACR 9 NCCN1 recommends tomosynthesis to reduce callbacks and improve detection vs 2D mammography alone NCCN 2A U S breast and MRI breast w o and w IV contrast standard