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USMLE Step 2 CK Bits & Pieces High yield short focused points, monographs, charts, illustrations, tables, and other stuff related to the USMLE Step 2 CK Exam.


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  #1  
Old 11-15-2011
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Idea! Breast and cervical screening cancer

I read a post by @amirh899 and it seems that preventive medicine is high yield....so...here we go!

UpToDate: There is a strong consensus, because of consistent findings from multiple randomized trials, that routine screening mammography should be offered to women ages 50 to 69. Consensus is not as strong for routine screening among women ages 40 to 49 or women over age 70, for screening with clinical breast examination or breast self-examination, or for how frequently to screen.

BREAST SCREENING: USPSTF is the only one who changed the recommendation (see table)

Breast and cervical screening cancer-breast.jpg

American Cancer Society
http://www.cancer.org/Healthy/FindCa...tion-of-cancer

USPSTF
http://www.uspreventiveservicestaskf...f/uspsbrca.htm
Summary of Recommendations
-The USPSTF recommends biennial screening mammography for women aged 50 to 74 years.
Grade: B recommendation.
-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.
Grade: C recommendation.
-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.
Grade: I Statement.
-The USPSTF recommends against teaching breast self-examination (BSE).
Grade: D recommendation.
-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.
Grade: I Statement.
-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.
Grade: I Statement.

National Cancer Institute
http://www.cancer.gov/cancertopics/f...ion/mammograms
What are the benefits of screening mammograms?
- Early detection of breast cancer with screening mammography means that treatment can be started earlier in the course of the disease, possibly before it has spread. Results from randomized clinical trials and other studies show that screening mammography can help reduce the number of deaths from breast cancer among women ages 40 to 74, especially for those over age 50 (1, 2). However, studies conducted to date have not shown a benefit from regular screening mammography in women under age 40 or frombaseline screening mammograms (mammograms used for comparison) taken before age 40.

American College of Radiology
http://www.acr.org/SecondaryMainMenu...endations.aspx
Journal of the American College of Radiology
Volume 7, Issue 1 , Pages 18-27, January 2010
The new recommendations from the Society of Breast Imaging (SBI) and the American College of Radiology (ACR) on breast cancer screening, published in the January issue of the Journal of the American College of Radiology (JACR), state that breast cancer screening should begin at age 40 and earlier in high-risk patients


Good reading:
http://annals.org/content/155/1/10.abstract
Personalizing Mammography by Breast Density and Other Risk Factors for Breast Cancer: Analysis of Health Benefits and Cost-Effectiveness
and the editorial
http://annals.org/content/155/1/58.extract


----------------------------------------------------
Cervical Cancer: recommendation by ACOG, ACS and USPSTF
Breast and cervical screening cancer-cervical.jpg
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The above post was thanked by:
Al-Saoudi (11-20-2011), evavar (11-15-2011), JBerger (11-16-2011), paul_87 (05-22-2013), prepink (11-15-2011)



  #2  
Old 11-16-2011
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Hi. where can I get uptodate?
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  #3  
Old 11-16-2011
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Quote:
Originally Posted by JBerger View Post
Hi. where can I get uptodate?
If you are a student, go to uptodate.com and pay 195U$.
good luck!
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