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NCCN Patient Webinar: Breast Cancer Screening

Experts discuss breast cancer screening, the options for those at average risk, and factors that affect risk, including age, breast density, and genetics. The webinar also explores how to engage in shared decision-making with your health care provider(s). Topics Discussed 00:00 Welcome 02:10 Sex and gender and breast cancer 03:44 About breast cancer and mammography 04:24 Mammography recommendations for those at average risk 05:43 NCCN Guidelines screening recommendations based on risk and age 06:43 Tomosynthesis (3D mammography) 07:44 When should we stop screening? 08:48 Informed decisions about screening: Benefits and Harms 12:40 Screening interval 14:30 Dense breasts and supplemental screening 16:07 Breast ultrasound 16:39 Overview of mammographic screening 17:00 Cancer genetic testing and counseling 19:20 Breast cancer risk factors 19:52 Features of inherited cancer predisposition 20:36 Example of family pedigree chart 21:47 Reasons to identify inherited cancer risk predisposition 22:53 Risk models used at time of mammogram 24:26 Types of genetic tests and approach to genetic testing 28:43 Classification of gene variants 31:50 Helping people make informed decisions about screening 33:47 About FORCE (Facing Our Risk of Cancer Empowered) 34:53: Differences in screening recommendations 35:28 How does a person decide? 37:42 Considerations and what you can do 42:50 Consider a clinical trial 43:59: Know your health benefits and rights 44:58 Additional screening resources and information Q&A Session 47:27 Why is breast self-examination not recommended and what can be the disadvantage? 49:20 What are the major causes of false negatives ? 50:40 Why is there such a concern about false positives from added screening? 53:26: Do you have suggestions for coping with the stress of having a mammogram and waiting for the results? 53:58: If follow up after an initial mammogram is needed, is mammogram with ultrasound just as good as a MRI for women with heterogeneous dense breasts? 55:47: How young is young for a cancer diagnosis to be considered for genetic testing? 57:08 Can genetic tests predict risk of recurrence for a breast cancer survivor? 58:24 Does finding a genetic mutation entail going through some treatments or is it enough to opt for surveillance only? 1:00:15 How often are the NCCN Guidelines updated? 1:01:16 How do you handle follow up after screening or surgery? Any tips for talking to your care team? 1:04:45 If a woman has a mammogram and is identified as having dense breasts, what is the screening recommendation? 1:05:57 Is there any research about the percentage of women who complete annual screenings? 1:06:23 What is the sensitivity of mammography to flat or small breasts? 1:06:59 If you have an incomplete family history, what should you do? 1:09:18 For a pre-menopausal woman with breast cancer having BRCA mutations, what other tests should be done should be done to detect cancer in other areas? 1:10:52 Do you recommend annual breast exams for a woman over 85 who had breast cancer 15 years ago? The Patient Webinar on Breast Cancer Screening occurred in February 2024. This program was created in conjunction with the NCCN Guidelines for Patients® for Breast Cancer Screening and Diagnosis: https://www.nccn.org/patientresources... The NCCN Guidelines for Patients are available to read and download for free online and via the NCCN Patient Guides for Cancer mobile app. Printed editions can be ordered from Amazon.com for a small fee. NCCN Guidelines for Patients DO NOT replace the expertise and clinical judgment of the clinician. Supporters: This webinar is supported through the NCCN Foundation and by contributions from our corporate supporters: GE Healthcare, Gilead Sciences Inc., and Hologic. __________________________________________________________ About NCCN Foundation®: NCCN FOUNDATION® is a 501(c)3 organization founded by the National Comprehensive Cancer Network® (NCCN®)—a not-for-profit alliance of leading cancer centers devoted to patient care, research, and education—to empower people living with cancer and advance oncology innovation. For more information or to make a donation, visit http://www.nccn.org/patients/foundation __________________________________________________________ About NCCN: The National Comprehensive Cancer Network® (NCCN®) is a not-for-profit alliance of leading cancer centers devoted to patient care, research, and education. NCCN is dedicated to improving and facilitating quality, effective, equitable, and accessible cancer care so all patients can live better lives. Visit https://www.nccn.org/ for more information. Subscribe to our channel: https://www.youtube.com/c/NCCNvideo?s... Connect with us! X:   / nccn   LinkedIn:   / nccn   Facebook:   / nccnorg   Instagram:   / nccnorg