Breast cancer is the most common malignancy among women in the United State
s; however, recent data demonstrates a decline in the mortality rate, which
may be attributed to early detection from screening programs combined with
effective therapies for early stage disease. As a result of the prevalence
of breast cancer and its association with highly emotional issues, screeni
ng recommendations have aroused debate in the scientific, public, and legis
lative domains. A general consensus supports breast cancer screening among
women between the ages of 50 and 70; however, much controversy exists regar
ding screening for women age 40 to 49 or above age 70. This article explore
s the issues involved in determining breast cancer screening recommendation
s among asymptomatic women with average risk in the United States.