Recommendations for the Screening of Breast Cancer of the Brazilian College of Radiology and Diagnostic Imaging, Brazilian Society of Mastology and Brazilian Federation of Gynecology and Obstetrics Association
Cícero Úrban, Luciano Fernandes Chala, Ivie Braga de Paula, Selma di Pace Bauab, Marcela Brisighelli Schaefer, Ana Lúcia Kefalás Oliveira, Carlos Shimizu, Tatiane Mendes Gonçalves de Oliveira, Paula de Camargo Moraes, Beatriz Medicis Maranhão Miranda, Flávia Engel Aduan, Salete de Jesus Fonseca Rego, Ellyete de Oliveira Canella, Henrique Lima Couto, Gustavo Machado Badan, José Luis Esteves Francisco, Thaís Paiva Moraes, Rosangela Requi Jakubiak, João Emílio Peixoto
Abstract
OBJECTIVE: To present the update of the recommendations of the Brazilian College of Radiology and Diagnostic Imaging, the Brazilian Society of Mastology and the Brazilian Federation of Associations of Gynecology and Obstetrics for breast cancer screening in Brazil. METHODS: Scientific evidence published in Medline, EMBASE, Cochrane Library, EBSCO, CINAHL and Lilacs databases between January 2012 and July 2022 was searched. Recommendations were based on this evidence by consensus of the expert committee of the three entities. RECOMMENDATIONS: Annual mammography screening is recommended for women at usual risk aged 40-74 years. Above 75 years, it should be reserved for those with a life expectancy greater than seven years. Women at higher than usual risk, including those with dense breasts, with a personal history of atypical lobular hyperplasia, classic lobular carcinoma in situ, atypical ductal hyperplasia, treatment for breast cancer or chest irradiation before age 30, or even, carriers of a genetic mutation or with a strong family history, benefit from complementary screening, and should be considered individually. Tomosynthesis is a form of mammography and should be considered in screening whenever accessible and available.