Breast cancer screening: a narrative review

Authors

  • Asmita Kaundal Department of Obstetrics and Gynaecology, AIIMS, Bilaspur, H. P., India https://orcid.org/0000-0002-6385-9053
  • Bhavna Department of Obstetrics and Gynaecology, AIIMS, Bilaspur, H. P., India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20252002

Keywords:

Breast cancer, Screening, Early detection of cancer, Mammography, Ultrasonography, Artificial intelligence

Abstract

Breast cancer (BC) is the most commonly diagnosed cancer and a leading cause of cancer-related mortality among women worldwide, accounting for over 2.5 million cases and 670,000 deaths annually. The burden is disproportionately higher in low- and middle-income countries (LMICs) due to limited access to screening, poor infrastructure, low awareness, and socio-cultural barriers. Early detection through screening plays a critical role in improving survival and reducing morbidity. This review outlines the epidemiology of breast cancer (BC), stratification of risk, and current international and national screening guidelines. Various screening modalities are discussed, including mammography, ultrasound, MRI, clinical breast examination (CBE), and emerging technologies such as artificial intelligence and liquid biopsy. The role of innovative tools such as the iBreastExam and, community-based strategies in resource-limited settings is emphasized. Despite advances, key challenges remain regarding accessibility, affordability, and awareness. 

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References

International agency for research on cancer. WHO. Globocan 2022. Available at: https://gco.iarc.who.int/media/globocan/factsheets/populations/900-world-fact-sheet.pdf. Accessed on 24 January 2024.

Bray F, Laversanne M, Sung H, Ferlay J, Siegel RL, Soerjomataram I, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer J Clin. 2022;74(3):229-63. DOI: https://doi.org/10.3322/caac.21834

Singh S, Shrivastava JP, Dwivedi A. Breast cancer screening existence in India: A non-existing reality. Indian J Med Paediatr Oncol. 2015;36(4):207-9. DOI: https://doi.org/10.4103/0971-5851.171539

ACOG Updates Recommendation on When to Begin Breast Cancer Screening Mammography. Practice Bulletin. 2024;179.

American Cancer Society Recommendations for the Early Detection of Breast Cancer. cancer. Available at: https://www.cancer.org/cancer/types/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html. Accessed on 15 April 2025.

Chakrabarthi S, Panwar S. Best practice guidelines for breast imaging society, India: Part 1. Review article. Ann National Academy Med Sci. 2022;58(2):60-66. DOI: https://doi.org/10.1055/s-0042-1742586

NCCN guidelines insights: Breast cancer screening and diagnosis. 2023.

Task force issues Final recommendations statement on screening for breast cancer. USPSTF Bulletin. 2024.

Mann RM, Cho N, Moy L. Breast MRI: State of the Art. Radiol. 2019;292:520-36. DOI: https://doi.org/10.1148/radiol.2019182947

Thind A, Diamant A, Hoq L, Maly R. Method of Detection of Breast Cancer in Low-Income Women. J Women’s Health. 2009;18(11):1807-11. DOI: https://doi.org/10.1089/jwh.2008.1224

Mizzitell C, Santini D, Gianluca A, Zamagni C, Trere D, Montanano L, et al. Liquid biopsy in management of breast cancer patients: where are we now and where are we going. Diagnostics (Basel). 2023;13(7):1241. DOI: https://doi.org/10.3390/diagnostics13071241

WHO Global breast cancer initiative 2021. Available at: https://www.who.int/publications/m/item/the-global-breast-cancer-initiative-gbci. Accessed on 24 January 2024.

Global Breast Cancer Initiative Implementation Framework Assessing, strengthening and scaling up services for the early detection and management of breast cancer. Geneva: World Health Organization. 2023. Available at: https://www.who.int/publications/i/item/9789240067134. Accessed on 24 January 2024.

Duffy S, Vulkan D, Cuckle H, Parmar D, Sheikh S, Smith R, et al. Annual mammographic screening to reduce breast cancer mortality in women from age 40 years: long-term follow-up of the UK Age RCT. Health Technol Assess. 2020;24(55):1-24. DOI: https://doi.org/10.3310/hta24550

Bhattacharya S, Varshney S, Heidler P, Tripathi SK. Expanding the horizon for breast cancer screening in India through artificial intelligent technologies -A mini-review. Front. Digit. Health. 2022;4:1082884. DOI: https://doi.org/10.3389/fdgth.2022.1082884

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Published

2025-06-26

How to Cite

Kaundal, A., & Bhavna. (2025). Breast cancer screening: a narrative review. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 14(7), 2407–2410. https://doi.org/10.18203/2320-1770.ijrcog20252002

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Section

Review Articles