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By Kelly K. Hunt, Geoffrey L. Robb, Eric A. Strom, Naoto T. Ueno, J. Mendelsohn

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Additional info for Breast Cancer

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The NCI program prompts the user to input information about specific breast cancer risk factors and provides a printout showing projected breast cancer risk in the next 5 years and projected lifetime risk. For comparative purposes, the printout also includes the average 5-year and lifetime risks for a woman of the same age and race as the woman evaluated. 7% or greater. This is the average risk of a 60-year-old woman. This risk was chosen as the cutoff point for elevated risk because 60 years was the median age at which breast cancer was diagnosed in the United States at the time the model was developed.

Bevers Mammographic Abnormality with Normal Findings on CBE If the findings on mammography are abnormal, a diagnostic workup is necessary to definitively evaluate the abnormality. The American College of Radiology has established the Breast Imaging Reporting and Data System (BI-RADS) to standardize mammography reports (for more information, see Chapter 4). BI-RADS category 0 refers to mammograms for which some combination of additional mammographic views, sonography, and comparison with prior films is necessary to determine the final BI-RADS category.

Chemoprevention . . . . . . . . . . . . . . . . . . . . . Tamoxifen . . . . . . . . . . . . . . . . . . . . . . Raloxifene . . . . . . . . . . . . . . . . . . . . . . B. Bevers 28 Counseling before Initiation of Therapy . . . . . . . . . Care of Women Taking Tamoxifen or Raloxifene . . . . . . Screening . . . . . . . . . . . . . . . . . . . . . . . . .

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