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?

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.

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