PROPOSAL: Screening for breast cancer managements plan proposal for Iranian social security, Ministry of Welfare andSocial Security (Iran) , Planning and understand the cost of preventive medicine comparing to the cost of treatment.

the existing program from Social Security Organization , were the medical services are provided directly through 73 hospitals and 270 medicalclinics owned by the Social Security Organization.and find out the number of the breast cancer was treated and diagnosed from beginning to end and during last 5 years, This will allow Us to recommends biennial screening mammography for women 50-74 years. And analysis an individual one and take patient context into account, including the patient s values regarding specific benefits and harms to Conclude from those data and making screening managements plan for the next 5 years by reducing and substitute the cost of breast cancer treatments by prevention with triple screening plan including the Clinical , mammography and ultrasound managements plans . The Screening mammography can help reduce the number of deaths from breast cancer among women ages 50 to 74. The Potential limitations of screening mammography include false-positive results, overdiagnosis and overtreatment, false-negative results, and radiation exposure. In surgery, for example, value depends on not only the surgeon but also the anesthesiologist, the nurses, the radiologist, the skilled technicians, and others, all performing well. Yet no matter how skilled the surgical team, the overall care cycle is crucial. Unless the patient s problem is accurately diagnosed, the patient is properly prepared, and recovery and rehabilitation are managed well, patient results will suffer. Indeed, the impact of the cycle of care is even broader. Value may beenhanced by not performing the surgery at all, and treating the case in a different way. Value may be still greater if preventive care and advice isprovided over time so that little or no treatment is needed at all. The Women’s are Doing breast cancer screening one time a years after age of 40 years, The triples screening start -first at age of 20 years by inspection and palpations both breasts himself,-Second clinical examination with physician every 3 years between 20 to 39 years, and one time after 40. Because in order to making choices for triples screening the economicjustification is necessary facing the selective prevention Vs regular treatments plans. Also by educating the peoples eating conveniently, advise to doing the sport regularly, and stop smoking, reducing fatty foods, and using high fiber foods, the Breast cancer triples screening managements plan are seen with the respect to the patient risk factors including the Gender, GENETICS Family history, BODY Obesity, Not having children, High breast density, certain breast changes, and Menstrual history, LIFESTYLE : A sedentary lifestyle, Heavy drinking, PREVIOUS TREATMENTS: Birth control pills, Combined post-menopausal hormone therapy (PHT), Diethylstilbestrol exposure (DES), Radiation exposure, In order to make a meaningful survival analysis, basic cancer and patient characteristics such as age at initial diagnosis ,year of initial diagnosis, in additional Cancer stages, cancer primary sites, and gender are necessary, the health care system to deliver care that is both more affordable and of higher quality. Then how we can learn from the social security practices during last past 5 years data, making it’s the farther used for screening breast cancer, and highly likely for others cancers prevention managing plans as well. The Diagnostic mammography takes longer than screening mammography because more x-rays are needed to obtain views of the breast from several angles and used for women’s between 40-74 years The Australian Breast Screen Program was launched, The Australia agreed to fund the national mammography program. Today, there are 550 locations via fixed, relocatabe or mobile screening units in the country. Breast Cancer: Screening Release Date: November 2009 the Women, Age 50-74 Years. in USA The USPSTF recommends biennial screening mammography for women 50-74 years. For Women, Before the Age of 50 Years, The decision to startregular, biennial screening mammography before the age of 50 years should be an individual one and take patient context into account, including the patient s values regarding specific benefits and harms.