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Outcomes of screening mammography performed prior to fertility treatment in women ages 40-49

Published:September 02, 2021DOI:https://doi.org/10.1016/j.clinimag.2021.08.028

      Highlights

      • There are currently various recommendations for screening mammography in women 40-49
      • There are no screening recommendations specific for women 40-49 prior to fertility treatment
      • We found 1 screen detected cancer in 118 women (40-49) prior to fertility treatment
      • Screening mammography should be considered prior to fertility treatment

      Abstract

      Objective

      There are currently various conflicting recommendations for breast cancer screening with mammography in women between ages 40-49. There are no specific guidelines for breast cancer screening in women of this age group prior to assisted reproductive technology (ART) for the treatment of infertility. The purpose of our study was to evaluate outcomes of screening mammography, specifically ordered for the purpose of pre-fertility treatment clearance in women aged 40-49 years old.

      Materials and methods

      This was an IRB approved retrospective study of women aged 40-49 presenting for screening mammography prior to ART between January 2010 and October 2018. Clinical history, imaging, and pathology results were gathered from the electronic medical record. Descriptive statistics were performed.

      Results

      Our study cohort consisted of 118 women with a mean age of 42 years (range 40-49). Sixteen of 118 (14%) women were recalled from screening for additional diagnostic work-up. Five of the 16 (31%) were recommended for biopsy (BI-RADS 4 or 5). One of 5 biopsies yielded a malignant result (PPV 20%). Overall cancer detection rate was 0.85% or 8.5 women per 1000 women screened. The single cancer in this cohort was an ER+ PR+ HER2- invasive ductal carcinoma.

      Conclusion

      Screening mammography in women 40-49 performed prior to initiation of ART may identify asymptomatic breast malignancy. In accordance with ACR and SBI guidelines to screen women of this age group, women of this age group should undergo screening mammography prior to ART.

      Keywords

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