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Screening mammography lowers breast cancer–related mortality, but incidence of invasive breast cancer is increasing among women in their 40s. Compared with white women, Black women are more likely to develop aggressive cancers at younger ages and are at higher risk for breast cancer–related mortality. In 2016, the USPSTF recommended biennial mammograms for middle-aged women (age range, 50–74; grade B) with individualized decision making for those who were 40 to 49 (grade C; NEJM JW Gen Med Feb 1 2016 and Ann Intern Med 2016; 164:279). Now, the Task Force has updated this guideline.
These recommendations apply to all people assigned female at bir…