In the United States, more than half of states currently require notification of women whose mammography results indicate dense breast tissue. More states have such legislation pending. Clinicians face significant challenges in helping patients place this information into perspective and formulate a plan to assess risk, identify lesions, and improve outcomes. Overall, data concerning traditional breast cancer screening is problematic. Leading organizations, however, continue to recommend annual or biennial screening for women aged 40 years or older. The presence of dense breast tissue increases the difficulty of detecting breast cancer with 2D mammography. Thus, there has been increased interest in the use of new imaging techniques to better detect cancer in women with dense breasts, including digital breast tomosynthesis and whole breast ultrasound. This program will review options and best practices for managing patients with dense breasts.
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