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 ACOG C 1 2 7 12
By vgreene, 13 September, 2017 However NCCN2 recommends that annual clinical encounter include CBE as does ACOG7 in the context of shared informed decision making approach ACOG C
By vgreene, 13 September, 2017 CBE not recommended due to lack of evidence for benefit ACS Q 3 6 insufficient evidence to assess benefits but assoc w some harms false positives w additional tests and anxiety false negatives w potential false reassurance and delay in dx 11
By vgreene, 13 September, 2017 Modalities USPSTF 4 AAFP 5 and ACR8 rate tomosynthesis equivalent to mammography alone ACR 9 NCCN2 recommends tomosynthesis to reduce callbacks and improve detection vs 2D mammography alone U S breast and MRI breast w o and w IV contrast standard and abbr
By vgreene, 12 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 2 7 13
