Oncology



Breast Cancer Screening
 American Cancer Society Breast Cancer Screening Guidelines
  “Yearly mammograms are recommended starting at age 40 and continuing for as long as a woman is in good health”
  as stated online Dec 2009

   

2009 USPSTF Breast Cancer Screening
(The ACS Guidelines above remain unchanged as of Dec 2009)

   Summary of Recommendations
    · The USPSTF recommends biennial screening mammography for women aged 50 to 74 years.
    · The decision to start regular, biennial screening mammography before the age of 50 years should be an individual one and take patient context into account,
         including the patient's values regarding specific benefits and harms.
                 "So, what does this mean if you are a woman in your 40s?
                    You should talk to your doctor and make an informed decision about whether mammography is right for you
                      based on your family history, general health, and personal values."
              Diana Petitti, MD, MPH   Vice Chair, U.S. Preventive Services Task Force  November 19, 2009
    · The USPSTF concludes that the current evidence is insufficient to assess the additional benefits and harms of screening mammography in women 75 years
        or older.
    · The USPSTF recommends against teaching breast self-examination (BSE).
    · The USPSTF concludes that the current evidence is insufficient to assess the additional benefits and harms of clinical breast examination (CBE) beyond screening mammography in women 40 years or older.
    · The USPSTF concludes that the current evidence is insufficient to assess the additional benefits and harms of either digital mammography or magnetic resonance  imaging (MRI) instead of film mammography as screening modalities for breast cancer.
       



Cervical Cancer Screening

    2009 ACOG Pap Smear/Cervical Cancer Screening Recommendations:
  “Women from ages 21 to 30 be screened every two years instead of annually, using either the standard Pap or liquid-based cytology.
   Women age 30 and older who have had three consecutive negative cervical cytology test results may be screened once every
    three years with either the Pap or liquid-based cytology.
   Women with certain risk factors may need more frequent screening, including those who have HIV, are immunosuppressed,
     were exposed to diethylstilbestrol (DES) in utero, and have been treated for cervical intraepithelial neoplasia (CIN) 2, CIN 3, or cervical cancer.”

Colon Cancer Screening
2008 ACG Colorectal Cancer Screening Guidelines

  

 Lung Cancer Treatment
2004 ACS / ACCN Lung Cancer
Treatment Guidelines for Patients