Abnormal screening results

(Use the following link for a printable handout of the Additional resources.)

Clinical guidelines for breast cancer screening and diagnosis

National Comprehensive Cancer Network (NCCN) guidelines:

Breast Cancer Screening and Diagnosis Guidelines © (2004).
Breast Cancer Risk Reduction © (2004).

American College of Radiology:
Expert panel on women's imaging - Breast work group:

Work-Up of Non-Palpable Breast Masses - Appropriateness Criteria ® (1996)
Appropriate Imaging Work-Up of Palpable Breast Masses - Appropriateness Criteria ® (2003)
Appropriate Imaging Work-Up of Breast Microcalcifications - Appropriateness Criteria ® (1996)

Institute for Clinical Systems Improvement (ICSI):

Diagnosis of Breast Disease © (2003)

Radiologic Clinics of North America:

Imaging of Breast Masses by Lawrence Bassett (July 2000)
Available by subscription only

Screening and treatment resources for low-income, un/underinsured women

CDC National Breast and Cervical Cancer Early Detection Program (NBCCEDP)

Breast and cervical cancer screenings for low-income, underinsured women
Web links for state and territorial programs and other national partner organizations
Fact sheets and program publications

Federal Medicaid Breast and Cervical Cancer Prevention and Treatment

Most women screened or diagnosed through a state NBCCEDP, and who are diagnosed and need treatment for breast or cervical cancer, are eligible to get treatment covered through their state Medicaid program

Wisconsin Well Woman Program (WWWP)

Breast and cervical cancer screenings for low-income, underinsured women

Wisconsin Well Woman Medicaid (WWWMA)

Treatment for breast or cervical cancer for most women screened or diagnosed through WWWP or Wisconsin's Medicaid Family Planning Waiver

Wisconsin Cancer Drug Repository

Cancer patients can donate unused or discontinued medications and supplies to a participating pharmacy or medical facility, so those items can be shared with cancer patients who are uninsured or underinsured.

American Cancer Society - Navigator

Toll-free number to access free, confidential assistance to cancer patients and their families (e.g., provide cancer information, assist in locating local and national resources and support services, arrange for assistive devices, wigs/hats, prostheses) 1-800-227-2345

Komen Foundation - Breast Care Helpline & Linking A.R.M.S.

Toll-free number for information on breast cancer and referrals to "Linking A.R.M.S.," a joint Komen and CancerCare program for economically disadvantaged breast cancer patients. Eligible breast cancer patients may receive financial assistance grants of up to $300 to help cover oral medication, lymphedema care, and medical equipment. 1-800-462-9273

CancerCare - Assist

Toll-free number to help cancer patients find financial assistance for cancer care or supports, and limited financial assistance for cancer-related costs (e.g., pain medication, transportation to/from treatment, home care, child care) for financially eligible cancer patients. 1-800-813-4673

Links to patient education resources

National Cancer Institute
American Cancer Society
National Comprehensive Cancer Network & ACS:
Breast Cancer Treatment Guidelines for Patients © (2004)
American Academy of Family Physicians: FamilyDoctor.org
American College of Radiology: RadiologyInfo
BreastCancer.Org
Komen Foundation
Breast Health Access for Women with Disabilities
Intercultural Cancer Council
Native Circle at Mayo Clinic

References

American Cancer Society. (2004). How is breast cancer diagnosed? Atlanta, GA.

American Cancer Society. (2003). Mammograms and other breast imaging procedures. Atlanta, GA.

American College of Radiology. (2003a). BI-RADS mammography assessment categories. Reston, VA.

American College of Radiology. (2003b). BI-RADS ultrasound assessment categories. Reston, VA.

American College of Radiology. (2003c). Appropriate imaging work-up of palpable breast masses. Reston, VA: Expert Panel on Women's Imaging-Breast Work Group.

American College of Radiology. (2004). Practice guideline for the performance of magnetic resonance imaging (MRI) of the breast. Reston, VA.

American College of Radiology. (1996). Work-up of nonpalpable breast masses. Reston, VA. Author.

Bassett, L. W. (2000). Imaging of breast masses. Radiologic Clinics of North America, 38(4), 669-691.

Bassett, L. W., Hendrick, R. E., Bassford, T. L., Butler, P. F., Carter, D., & DeBor, M. (1994). Quality determinants of mammography. Clinical Practice Guideline No. 13. AHCPR Publication No. 95-0632. Rockville, MD: Agency for Health Care Policy and Research, Public Health Service, U.S. Department of Health and Human Services.

Davenport, D. (2000). Documenting high-risk cases to avoid malpractice liability. Family Practice Management, 7(9), 33-37.

Food and Drug Administration (FDA). (2005). Mammography: Frequently asked questions about MQSA. Rockville, MD.

Khan, S., Wiley, N. R., Baird, C., Ramakrishnan, R., Nayar, R., Bryk, M., et al. (2004). Ductal lavage findings in women with known breast cancer undergoing mastectomy. Journal of the National Cancer Institute, 96, 1510-1517.

Kumar, R. and Alavi, A. (2004). Fluorodioxyglucose-PET in management of breast cancer. Radiologic Clinics of North America, 42(6), 1113-1122.

Lucas, J. H. and Cone, D. L. (2003). Breast cyst aspiration. American Family Physician, 68(10), 1983-1986,1989.

Morris, K. T., Pommier, R. F., Morris, A., et al. (2001). Usefulness of the triple test score for palpable breast masses. Archives of Surgery, 136(9), 1008-1013.

Mehta, T. S. (2003). Current uses of ultrasound in the evaluation of the breast. Radiologic Clinics of North America, 41(4), 841-856.

National Cancer Institute. (2002). Improving methods for breast cancer detection. Bethesda, MD.

National Cancer Institute. (2004). Understanding breast changes. Bethesda, MD.

National Cancer Institute. (2005). Breast cancer (PDQ®): Treatment health professional version. Bethesda, MD.

National Comprehensive Cancer Network. (2004). Breast cancer screening and diagnosis guidelines. Jenkintown, PA.

Newman, L. A. (2004). Ductal lavage: What we know and what we don't. Oncology, 18(2), 179-185.

Orel, S. G. (2000). MR imaging of the breast. Radiologic Clinics of North America, 38(4), 899-913.

Osuch, J. R., Bonham, V. L., & Morris, L. L. (1999). Primary care guide to managing a breast mass: A legal perspective on risk management. Medscape General Medicine, 1(3).

Zuber, T. J. (2004). Women and breast cancer, Part II: Diagnosis. American Academy of Family Physicians, CME Bulletin.


	Additional resources
Overview Evaluation of abnormal exams & mammograms Risk management Summary Additional resources & References Quiz	(Use the following link for a printable handout of the Additional resources.) Clinical guidelines for breast cancer screening and diagnosis National Comprehensive Cancer Network (NCCN) guidelines: Breast Cancer Screening and Diagnosis Guidelines © (2004). Breast Cancer Risk Reduction © (2004). American College of Radiology: Expert panel on women's imaging - Breast work group: Work-Up of Non-Palpable Breast Masses - Appropriateness Criteria ® (1996) Appropriate Imaging Work-Up of Palpable Breast Masses - Appropriateness Criteria ® (2003) Appropriate Imaging Work-Up of Breast Microcalcifications - Appropriateness Criteria ® (1996) Institute for Clinical Systems Improvement (ICSI): Diagnosis of Breast Disease © (2003) Radiologic Clinics of North America: Imaging of Breast Masses by Lawrence Bassett (July 2000) Available by subscription only Screening and treatment resources for low-income, un/underinsured women CDC National Breast and Cervical Cancer Early Detection Program (NBCCEDP) Breast and cervical cancer screenings for low-income, underinsured women Web links for state and territorial programs and other national partner organizations Fact sheets and program publications Federal Medicaid Breast and Cervical Cancer Prevention and Treatment Most women screened or diagnosed through a state NBCCEDP, and who are diagnosed and need treatment for breast or cervical cancer, are eligible to get treatment covered through their state Medicaid program Wisconsin Well Woman Program (WWWP) Breast and cervical cancer screenings for low-income, underinsured women Wisconsin Well Woman Medicaid (WWWMA) Treatment for breast or cervical cancer for most women screened or diagnosed through WWWP or Wisconsin's Medicaid Family Planning Waiver Wisconsin Cancer Drug Repository Cancer patients can donate unused or discontinued medications and supplies to a participating pharmacy or medical facility, so those items can be shared with cancer patients who are uninsured or underinsured. American Cancer Society - Navigator Toll-free number to access free, confidential assistance to cancer patients and their families (e.g., provide cancer information, assist in locating local and national resources and support services, arrange for assistive devices, wigs/hats, prostheses) 1-800-227-2345 Komen Foundation - Breast Care Helpline & Linking A.R.M.S. Toll-free number for information on breast cancer and referrals to "Linking A.R.M.S.," a joint Komen and CancerCare program for economically disadvantaged breast cancer patients. Eligible breast cancer patients may receive financial assistance grants of up to $300 to help cover oral medication, lymphedema care, and medical equipment. 1-800-462-9273 CancerCare - Assist Toll-free number to help cancer patients find financial assistance for cancer care or supports, and limited financial assistance for cancer-related costs (e.g., pain medication, transportation to/from treatment, home care, child care) for financially eligible cancer patients. 1-800-813-4673 Links to patient education resources National Cancer Institute American Cancer Society National Comprehensive Cancer Network & ACS: Breast Cancer Treatment Guidelines for Patients © (2004) American Academy of Family Physicians: FamilyDoctor.org American College of Radiology: RadiologyInfo BreastCancer.Org Komen Foundation Breast Health Access for Women with Disabilities Intercultural Cancer Council Native Circle at Mayo Clinic References American Cancer Society. (2004). How is breast cancer diagnosed? Atlanta, GA. American Cancer Society. (2003). Mammograms and other breast imaging procedures. Atlanta, GA. American College of Radiology. (2003a). BI-RADS mammography assessment categories. Reston, VA. American College of Radiology. (2003b). BI-RADS ultrasound assessment categories. Reston, VA. American College of Radiology. (2003c). Appropriate imaging work-up of palpable breast masses. Reston, VA: Expert Panel on Women's Imaging-Breast Work Group. American College of Radiology. (2004). Practice guideline for the performance of magnetic resonance imaging (MRI) of the breast. Reston, VA. American College of Radiology. (1996). Work-up of nonpalpable breast masses. Reston, VA. Author. Bassett, L. W. (2000). Imaging of breast masses. Radiologic Clinics of North America, 38(4), 669-691. Bassett, L. W., Hendrick, R. E., Bassford, T. L., Butler, P. F., Carter, D., & DeBor, M. (1994). Quality determinants of mammography. Clinical Practice Guideline No. 13. AHCPR Publication No. 95-0632. Rockville, MD: Agency for Health Care Policy and Research, Public Health Service, U.S. Department of Health and Human Services. Davenport, D. (2000). Documenting high-risk cases to avoid malpractice liability. Family Practice Management, 7(9), 33-37. Food and Drug Administration (FDA). (2005). Mammography: Frequently asked questions about MQSA. Rockville, MD. Khan, S., Wiley, N. R., Baird, C., Ramakrishnan, R., Nayar, R., Bryk, M., et al. (2004). Ductal lavage findings in women with known breast cancer undergoing mastectomy. Journal of the National Cancer Institute, 96, 1510-1517. Kumar, R. and Alavi, A. (2004). Fluorodioxyglucose-PET in management of breast cancer. Radiologic Clinics of North America, 42(6), 1113-1122. Lucas, J. H. and Cone, D. L. (2003). Breast cyst aspiration. American Family Physician, 68(10), 1983-1986,1989. Morris, K. T., Pommier, R. F., Morris, A., et al. (2001). Usefulness of the triple test score for palpable breast masses. Archives of Surgery, 136(9), 1008-1013. Mehta, T. S. (2003). Current uses of ultrasound in the evaluation of the breast. Radiologic Clinics of North America, 41(4), 841-856. National Cancer Institute. (2002). Improving methods for breast cancer detection. Bethesda, MD. National Cancer Institute. (2004). Understanding breast changes. Bethesda, MD. National Cancer Institute. (2005). Breast cancer (PDQ®): Treatment health professional version. Bethesda, MD. National Comprehensive Cancer Network. (2004). Breast cancer screening and diagnosis guidelines. Jenkintown, PA. Newman, L. A. (2004). Ductal lavage: What we know and what we don't. Oncology, 18(2), 179-185. Orel, S. G. (2000). MR imaging of the breast. Radiologic Clinics of North America, 38(4), 899-913. Osuch, J. R., Bonham, V. L., & Morris, L. L. (1999). Primary care guide to managing a breast mass: A legal perspective on risk management. Medscape General Medicine, 1(3). Zuber, T. J. (2004). Women and breast cancer, Part II: Diagnosis. American Academy of Family Physicians, CME Bulletin.

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