An update on breast cancer screening and prevention

Prim Care. 2014 Jun;41(2):283-306. doi: 10.1016/j.pop.2014.02.006. Epub 2014 Mar 27.


The goal of this article is to provide clinical guidance on breast cancer screening and prevention in primary care. The discussion highlights the importance of risk assessment, including screening options and risk-reduction strategies, for women at average and high risk. We review recommendations for breast cancer screening, evaluate current evidence on primary prevention, examine current practice patterns, and consider the impact of recent changes within health care.

Keywords: Breast MRI; Breast cancer prevention; Breast cancer risk assessment; Breast cancer screening; Guidelines; Mammography.

Publication types

  • Review

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Alcohol Drinking / epidemiology
  • Body Mass Index
  • Breast Neoplasms / diagnosis*
  • Breast Neoplasms / epidemiology*
  • Diet
  • Early Detection of Cancer / methods*
  • Exercise
  • Female
  • Genetic Predisposition to Disease
  • Health Behavior
  • Health Services Accessibility
  • Humans
  • Middle Aged
  • Practice Guidelines as Topic
  • Primary Health Care / organization & administration*
  • Risk Assessment
  • Risk Factors
  • Selective Estrogen Receptor Modulators / administration & dosage
  • Smoking / epidemiology


  • Selective Estrogen Receptor Modulators