Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 54 1 2025 01 05 88 100 Pouran Raeissi Dehkordi Department of Healthcare Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran Zeinab Dolatshahi Department of Healthcare Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran Hassan Abolghasem Gorji Department of Healthcare Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran Seyed Massoud Hashemi Department of Anesthesiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran Nahid Reisi Department of Pediatric Hematology and Oncology, Child Growth and Development Research Centre, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran Toraj Harati Khalilabad Department of Healthcare Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran 2024 02 06 2024 07 11 Background: Breast cancer (BC) is the leading cancer among women globally. Early detection through screening is vital for reducing mortality, complementing advancements in treatment. Methods: We aimed to overview BC screening practices in Iran over two-decades to inform policymakers for future research directions and prompt timely diagnoses. A scoping review was conducted on BC studies in Iran from 2000 to 2023, following PRISMA guidelines. Results: We analyzed 129 articles on BC in Iranian women, and finding six main areas. Conclusion: Iran's health system lacks an organized BC screening initiative, facing challenges like inadequate infrastructure, sociocultural barriers, unintegrated health insurance packages, and limited research on key indicators. https://ijph.tums.ac.ir/index.php/ijph/article/view/34561 https://ijph.tums.ac.ir/index.php/ijph/article/download/34561/8440