Physician breast exam

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Stephanie L. Release date: January 1, Expiration date: December 31, Estimated time of completion: 1 hour. Women often visit their primary care physician because of breast concerns such as masses, pain, and nipple discharge.

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In the past 9 years, there has been a major shift in the recommendations for breast cancer screening. Recognizing additional evidence about the harms of mammography, inthe United States Preventive Services Task Force USPSTF revised its previous recommendation of annual mammograms for all women beginning at age 40 years and instead recommended biennial mammograms for women aged 50 to 74 years. The USPSTF recommended against routine screening mammography for women aged 40 to 49 years, stating that the decision to start regular mammography before age 50 years should be an individual one that considers how each patient values specific benefits and harms.

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A clinical breast exam CBE is a physical exam done by a health care provider. It's often done during your regular medical check-up. A CBE should be performed by a health care provider well-trained in the technique this may be a physician, nurse practitioner or other medical staff.

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Mammography is the most widely used screening modality for the detection of breast cancer. There is evidence that it decreases breast cancer mortality in women aged 50 to 69 years and that it is associated with harms, including the detection of clinically insignificant cancers that pose no threat to life overdiagnosis. The benefit of mammography for women aged 40 to 49 years is uncertain.

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The Clinical Breast Examination Certification Program is offered at our annual conference in Las Vegas, NV to promote consistent breast health care throughout the nation. This certification is available to licensed healthcare professionals physicians, physicians assistants, nurse practitioners, registered nurses and radiologic technologists. Practitioners employed by Magnet Facilities can use CBEC designation in their credentials after successfully completing the examinations.

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These glands are connected via a series of ducts that ultimately join up to form a common drainage path, terminating at the nipple. The nipple is surrounded by a ring of pigmented tissue known as the areola. Fibro-elastic and fatty tissue provide support for the rest of the structure and allow the breast to maintain its distinctive shape.

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Breast cancer is the most common non—skin cancer and the second leading cause of cancer death in North American women. Mammography is the only screening test shown to reduce breast cancer—related mortality. There is general agreement that screening should be offered at least biennially to women 50 to 74 years of age. For women 40 to 49 years of age, the risks and benefits of screening should be discussed, and the decision to perform screening should take into consideration the individual patient risk, values, and comfort level of the patient and physician.

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Breast examinations are performed for a number of clinical reasons. Patients, usually female, may present with mastalgia breast painnipple changes skin or discharge or more commonly a breast lump. Breast cancer is a common condition, nearly 50, women are diagnosed with this each year in the UK, it is therefore likely that whatever area you specialise in you will encounter breast cancer.

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Thus, they are not intended to override clinicians' judgment. All ACP guidance statements are considered automatically withdrawn or invalid 5 years after publication, or once an update has been issued. Disclaimer: The authors of this article are responsible for its contents, including any clinical or treatment recommendations. Financial Support: Financial support for the development of this guidance statement comes exclusively from the ACP operating budget.

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