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Review

Breast cancer risk evaluation for the primary care physician

Christine L. Klassen, MD, Elizabeth Gilman, MD, Aparna Kaur, MD, Sara P. Lester, MD and Sandhya Pruthi, MD
Cleveland Clinic Journal of Medicine March 2022, 89 (3) 139-146; DOI: https://doi.org/10.3949/ccjm.89a.21023
Christine L. Klassen
Assistant Professor of Medicine, Division of General Internal Medicine, Mayo Clinic, Rochester, MN
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  • For correspondence: [email protected]
Elizabeth Gilman
Assistant Professor of Laboratory Medicine and Pathology, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN
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Aparna Kaur
Instructor in Medicine, Division of General Internal Medicine, Mayo Clinic, Rochester, MN
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Sara P. Lester
Instructor in Medicine, Division of General Internal Medicine, Mayo Clinic, Rochester, MN
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Sandhya Pruthi
Professor of Medicine, Division of General Internal Medicine, Mayo Clinic, Rochester, MN; President, National Consortium of Breast Centers, Warsaw, IN; Member, National Comprehensive Cancer Network Breast Cancer Risk Reduction Advisory Committee
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    Figure 1

    Systematic approach to breast cancer risk evaluation. A step-by-step approach to categorize patients who require further stratification vs patients needing referral to breast specialist.

    ATM = arabidopsis thaliana homeobox gene 1; BCRAT = Breast Cancer Risk Assessment Tool; BMI = body mass index; BRCA = BReast CAncer gene; CEM = contrast-enhanced mammogram; CHEK = checkpoint kinase 2; IBIS = International Breast Intervention Study; LCIS = lobular carcinoma in situ; MBI = molecular breast imaging; MRI = magnetic resonance imaging; NBN = nibrin; NCI = National Cancer Institute; NF1 = neurofibromin; PALB = partner and localizer of BRCA; PTEN = phosphatase and tensin homolog; STK = serine/threonine kinase; TNBC = triple-negative breast cancer; TP = tumor protein; US = ultrasonography

    Data from references 6, 7, 9, 11, 29, and 31.

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    TABLE 1

    Annual breast cancer case distribution by age

    Age range (years)New breast cancer cases, %
    20–341.9%
    35–448.2%
    45–5419.2%
    55–6425.6%
    65–7426%
    75–8413.7%
    > 845.4%
    • Data from reference 16.

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Cleveland Clinic Journal of Medicine: 89 (3)
Cleveland Clinic Journal of Medicine
Vol. 89, Issue 3
1 Mar 2022
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Breast cancer risk evaluation for the primary care physician
Christine L. Klassen, Elizabeth Gilman, Aparna Kaur, Sara P. Lester, Sandhya Pruthi
Cleveland Clinic Journal of Medicine Mar 2022, 89 (3) 139-146; DOI: 10.3949/ccjm.89a.21023

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Breast cancer risk evaluation for the primary care physician
Christine L. Klassen, Elizabeth Gilman, Aparna Kaur, Sara P. Lester, Sandhya Pruthi
Cleveland Clinic Journal of Medicine Mar 2022, 89 (3) 139-146; DOI: 10.3949/ccjm.89a.21023
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  • Article
    • ABSTRACT
    • KNOWN BREAST CANCER RISK FACTORS
    • METHODS TO EVALUATE RISK
    • A SYSTEMATIC APPROACH TO RISK EVALUATION
    • DISCLOSURES
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