Instructions: Listen to the podcast episode available below, and then submit your answers to the multiple choice questions. You will review the answers and the material covered during your next Continuity Clinic Session.
Breast Imaging and Density
1. A 62 yo G4P4 calls the office after receiving her mammography results in the mail. The report states that she was classified as Category 2 using the Breast Imaging Reporting and Data System (BI-RADS) and that she has extremely dense breasts. The report recommended that she discuss her results with her physician. Menarche was at age 12, and her first child was born at age 25. She had a biopsy 8 years ago for fibrocystic breast disease. Her maternal grandmother had breast cancer in her 60s. In addition to clinical breast exams, what would you recommend for this patients?
2. A 25 yo woman presents to your office. Her mother was diagnosed with breast cancer at age 48 and carries the BRCA1 mutation. Your patient recently had genetic counseling and tested positive for the same mutation. What is the most appropriate breast cancer surveillance for this patient?
3. A 55 yo G2P2 asks about her risk of developing breast cancer. She has no significant medical history. With the use of the Gail Model Breast Cancer Risk Assessment Tool, you determine her 5-year risk of breast cancer is 3.1% and lifetime risk is 20.1%. To reduce her risk of breast cancer, what is the best medical therapy?