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One in 8 women will be diagnosed with invasive breast cancer in their lifetimes, according to the American Cancer Society. Breast cancer is thesecond leading causeof cancer death for women in the United States, with42,000 womendying every year from this cancer.

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Dr. Leana Wen:Most women should receive a mammogram beginning at age 40 every other year until they reach age 74, according to a recent US Preventive Services Task Force recommendation. (For those 75 and above, the task force concluded that there was insufficient evidence to recommend for or against mammography on a population level. Patients should discuss individual circumstances with their provider.)

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Depending on the patient’s risk factors, they may receive additional screening tests. For instance, someone with multiple first-degree relatives with breast cancer may be recommended for genetic testing. An individual with prior abnormal results, or who otherwise has a higher risk of breast cancer, may have tests done in addition to the mammogram, such as a breast MRI or ultrasound.

In recent years, there has been a lot of debate among experts about whether younger women with dense breast tissue need these additional screening tests. TheAmerican College of Radiologynow recommends a breast MRI in some women with dense breast tissue. The US Preventive Services Task Force did not make this recommendation, but this is something that patients can discuss with their physician.

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Other changes that should prompt women to contact their physicians include nipple discharge, pain or swelling, nipple turning inward and changes in color or the breast or nipple. They should also report swollen lymph nodes in the armpits or near the collarbone.

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Yes. We have been referring primarily to women because breast cancer is far more common among women. However, there are men who are diagnosed with breast cancer as well.

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In addition, all people assigned female at birth should follow recommendations for breast cancer screening as noted above. That includes not only cisgender women but alsotransgender men and nonbinary people.

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