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  1. To support breastfeeding, provide interventions, such as professional and peer lactation support and lactation education, during pregnancy and after birth.

  2. Use standardized tools to assess women with a personal or family history of breast, ovarian, fallopian tube, or peritoneal cancer or who are at high risk of BRCA1 or BRCA2 mutations due to ancestry. Women with positive screening results should be referred for genetic counseling and possible testing.

  3. Do not instruct women to perform breast self-examination for breast cancer screening.

  4. Do not perform routine clinical breast examination for breast cancer screening for women at average risk of breast cancer at any age.

  5. Breast cancer survivors should have a comprehensive history taken and undergo physical examination every 3 to 6 months during the first 3 years after primary therapy, every 6 to 12 months during years 4 and 5, and then annually.

Resources

  1. Strength of Evidence: SORT B

    Source: US Preventive Services Task Force, reference 11

  2. Website: https://jamanetwork.com/journals/jama/fullarticle/2571249

  3. Strength of Evidence: SORT A

    Sources: US Preventive Services Task Force, National Comprehensive Cancer Network, references 77 and 78

  4. Websites: https://jamanetwork.com/journals/jama/fullarticle/2748515; https://www.nccn.org/professionals/physician_gls/pdf/genetics_bop.pdf

  5. Strength of Evidence: SORT A

    Source: US Preventive Services Task Force, reference 89

  6. Website: https://annals.org/aim/fullarticle/745237/screening-breast-cancer-u-s-preventive-services-task-force-recommendation

  7. Strength of Evidence: SORT A

    Source: American Cancer Society, reference 90

  8. Website: https://jamanetwork.com/journals/jama/fullarticle/2463262

  9. Strength of Evidence: SORT B

    Source: American Cancer Society/American Society of Clinical Oncology, reference 115

  10. Website: https://ascopubs.org/doi/full/10.1200/JCO.2015.64.3809

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