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Current U.S. screening mammography guidelines in older average-risk women suggest either stopping after age 75 (USPSTF; see https://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/breast-cancer-screening1) or continuing as long as overall health is good and life expectancy is >10 years (ACS; see http://jamanetwork.com/journals/jama/fullarticle/2463262 and NCCN; see http://www.nccn.org). However, no randomized, clinical trials have included women older than 75, and earlier relevant findings in older breast cancer survivors have been limited to retrospective reviews. In this review of existing guidelines and previously published data, the authors evaluated subsequent risk for ipsilateral and contralateral brea…