Increased Risk Screening for Breast Cancer Prior thoracic radiation therapy between the ages of 10 and 30 years Age <25 Annual CBE beginning 8 to 10 years after radiation therapy Breast awareness Age >25 Annual screening mammogram + CBE every 6 to 12 months beginning 8 to 10 years after radiation therapy or at age 40 whichever comes first Recommend breast MRI Breast awareness NCCN, 2014