When Mammography Identifies Dense Breasts, What's Next?

For focusing discussions about supplemental breast imaging, taking 5-year risk for advanced breast cancer into account is more efficient than considering only breast density.

Many states mandate that patients' screening mammography reports include breast density, and some specify that clinicians discuss supplemental breast imaging (SBI) with ultrasound or MRI when dense breasts are noted. In women at excess risk for breast cancer and those with dense breasts, SBI reduces the likelihood of interval cancers. To evaluate the efficiency of various strategies for recommending SBI, investigators studied a cohort of >638,000 women (mean age, 56) who underwent digital mammography screening from 2005 through 2014. Participants' baseline 5-year risk was evaluated with the Breast Cancer Surveillance Consortium (BCSC) calculator; breast density was assessed with the Breast Imaging Reporting and Data System (BI-RADS). The pr…

Reviewing Author

Andrew M. Kaunitz, MD

Disclosures

RoyaltiesUpToDate

Grant/Research SupportMerck, Mithra, Medicines360

Editorial BoardsContraception; Menopause; Contraceptive Technology Update; OBG Management; Medscape OB/GYN & Women’s Health

Andrew M. Kaunitz, MD

Disclosures

RoyaltiesUpToDate

Grant/Research SupportMerck, Mithra, Medicines360

Editorial BoardsContraception; Menopause; Contraceptive Technology Update; OBG Management; Medscape OB/GYN & Women’s Health

When Mammography Identifies Dense Breasts, What's Next?

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Reviewing Author