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Algorithm of Breast Cancer Screening using MRI in Patients with Personal History of Treated Breast Cancer

Algorithm of Breast Cancer Screening using MRI in Patients with Personal History of Treated Breast Cancer - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Clinical Practice Guidelines, Oncology, Related


Patient presentation with
personal history of breast
cancer
Does the patient meet any of the following criteria:
ξ Using accepted model(s), is calculated lifetime risk > 20%?
ξ Did patient receive non-standard therapy resulting in a
local recurrence risk after lumpectomy > 20%?
ξ Was the patient < 50 years of age at time of breast cancer
diagnosis?
Was the primary cancer
mammographically
occult?
Does the patient have
extremely dense breasts
(mammographic density
category D)?
No
No
Consider MRI
screening after
discussion of pros
and cons.
Yes
Consider MRI
screening after
discussion of pros
and cons.
Yes
MRI screening not
recommend.
Algorithm for Breast Cancer Screening using MRI in Patients with Personal
History of Treated Breast Cancer
No
Consider MRI
screening after
discussion of pros
and cons.
Yes
Note: Acceptable risk models include BRCAPro, Tyrer-Cusick, and Claus.
Risk should be calculated EXCLUDING the personal cancer.
Reference: MRI Screening in Patients at Increased Risk of Breast Cancer – Adult – Ambulatory Clinical Practice Guideline
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 08/2016CCKM@uwhealth.org