|Entry Date||January 5, 2023|
|Member Name||Deanna Birling|
I have a 79 year old female that was just diagnosed with ALH on breast biopsy - her scores are as follows:
Modified Gail Model: Five Year is: 3.2 %, compared to 2.1% for an average risk peer.
She had lung cancer herself at the age of 57 incidentally found s/p surgical resection only- RUL
My Questions for the experts:
2. Would you recommend breast MRI for her given she has category B dense breasts and lifetime risk < 20% ?
Expert Response: 1) Agree, given the patients age, we would not recommend risk reducing meds. 2) With a B density, we would not recommend Breast MRI even though she has ALH. Bilateral 3D screening mammogram annually is appropriate, even if she is not a candidate, given her age, for risk reducing medications.