Doctor insights on:
Recommended Mammogram Frequency
What are the dangers and limitations of mammograms and are there any alternative screening processes that you would recommend?
See below: Mammograms have not been associated with dangers. In conjunction with self-examination and health care examination, this is the best screen for breast cancer. Not all cancers are found on mammogram, and, if a lump is present and not seen on mammogram, additional evaluation will be necessary. ...Read more
A mammogram is the "gold standard" screening test for breast cancer. It's well established that yearly 'grams will DX cancers well before they are palpable, leading to earlier diagnoses and saved lives. All experts agree to begin yearly mammograms by age 50; many (including myself) believe the pro's outweigh the con's to begin at 40. Regrettably, less than half of all women ...Read more
Is there any merit in 2nd opinion on mammogram - before doing recommended biopsy? Any downside to biopsy? Could deoderant show up as irregulra calcifi
You can always: Get a second opinion if you are uncomfortable. But first, try discussing your concerns with your doctor or the radiologist. A second opinion may not be necessary. Deodorant could possibly look like calcifications, but it is not often confused with pathologic-looking breast calcifications. If the radiologist is not sure, they can repeat the mammo after washing the area. Needle bx risks minimal ...Read more
Painless small hard lump posterior axila normal mammogram did not show it at all would you recommend biopsy or further testing?
Probably: Ultrasound, and then biopsy if it looks suspicious. ...Read more
If X-Rays and Mammograms can cause cancer, then why do them annually as a checkup procedure? If they cause harm, why Drs recommend them??
There's good and bad: "Everything" causes cancer. If the benefit of finding a cancer tumor early outweighs the tiny risk from an x-ray, it's ok to do. To reduce your cancer risk, keep a healthy weight and exercise (at least 30 minutes, 5 days a week). Eat lots vegetables and limit your intake of red meat or burned/charbroiled meat. Avoid smoking, which increases risk of lung cancer, oral and throat cancers, etc... ...Read more
How long it's recommend to do mammogram for women, 41 years old, with heterogeneously dense breast? Is it every few months? A year? Is it every year?
Once per year: In general the recommendation is for annual mammograms after age 40. ...Read more
What is the recommended schedule for having mammograms when do not you have breast cancer history in your family?
Yearly: Most groups recommend yearly mammograms after age 50. There are pros and cons to this, and other factors to consider besides family history, so it is worth discussing with your doctor what is the best screening regimen for you. ...Read more
My mammogram was negative no lumps or masses found. Why would my doctor recommend an ultrasound? They did say I had dense breasts. Very nervous
Not sure...: I'm a breast radiologist. Something doesn't make sense. In the absence of symptoms (with negative mammo and physical exam), there is no indication for a diagnostic ultrasound. What occasionally happens is something worded in the mammogram report makes the referring physician uncomfortable and additional testing is unnecessarily ordered. I would call to clarify, but I wouldn't worry if I were you. ...Read more
When do you get regular mammograms? Breast cancer does not run in my family, but I want to make sure I'm doing everything to stay in good health. At what age do you recommend women start getting mammograms?
Currently,: Currently, at our institution we recommend that a woman with no risk factors begin yearly screening mammography at age 40. However, the recommendation for beginning screening mammography has become more controversial due to the recently published recommendations by the us preventative services task force which recommends screening mammography for women age 50 to 74 years. A rationale behind this recommendation is that screening mammography in women age 40 - 49 years results in more false positive results with comparatively few cancers detected. Currently, both the american college of radiology and the american cancer society recommend yearly screening beginning at 40 years of age. ...Read more
I have a lump near my breast/chest are. I had a mammogram and ultrasound and a biopsy was recommended. A bit of smelly whit discharge came out. Good?
There is really: No way to reliably tell. It might mean that the etiology was infectious, but cancers can also contain necrotic/fluid components, so the biopsy results are necessary to make the determination. ...Read more
My mammogram report results came back birads 4 but my sonogram report came back negative so why does my doctor recommend a breast biopsy?
Because. ..: If a suspicious lesion is noted on mammography an us is obtained. This allows for better definition of the lesion in the breast. However, a "negative" us does not rule out an underlying problem and the correct next step is to proceed with your physicians recommendation, in this case a biopsy. None of the imaging techniques are perfect, the final decision is based on all the information. ...Read more
My mother had breast cancer at 48. I 37 andy doctor recommended me to get a mammogram. Is it a baseline check and or necessary?
Yes: While recommendations vary, many doctors recommend beginning screenings 10 years younger than the youngest family member who had breast cancer. So if your mom was 48 at diagnosis, then you would start at 38. Some groups recommend a baseline at 35 and then yearly at 40 for women with a family history. So you are getting good advice. ...Read more
Yes but not for long: A woman's breast is squeezed as flat as possible for a couple seconds while the X-ray is taken. It hurts, but it doesn't last long. Most women have no problem tolerating it. It shouldn't keep you from having it done if your doctor recommends it. ...Read more
Needs compression: Most centers in the us take two images. One is oblique (called a medial lateral oblique or mlo) and one is head to toe (called craniocaudal or cc). Compression is required in both projections and this part can be painful. Once the images are obtained they are evaluated by a radiologist who has satisfied certain criteria established by the fda. A report should be available that day or within 1 week. ...Read more
Not necessarily hurt: In order to take a good picture breast tissue must be flattened by providing pressure to one direction. This should be explained to patient and performed gently. A large volume breast may need more pressure, but this can be done gently. ...Read more
Compression!: A screening mammogram involves taking two pictures of the breast (top-down and side-to-side) to get a complete view of the breast. This is done with the breast tissue "squished" for a few seconds so as to get the best images. I am told that it is as painful as it sounds but the pain usually is gone quickly. Most importantly, we can find cancers much earlier with a high probability for cure. ...Read more
Start annually age40:
Annual mammography starting at age 40 is recommended by majority.
This is recommendation of the american cancer society, the american college of radiology, the american college of obstetrics and gynecology, as well as many others.
If one has relatives (specially first-degree relatives) with breast cancer in young age, screening should start earlier. ...Read more
Yearly age 40 and up: New information suggests a shortened "sojourn" time in younger women. Meaning cancers can grow faster in women in their 40's. While cancers are less common in this group, more frequent screening is important. Risk of breast ca goes up with age, so yearly testing is suggested. Women with strong family history may need to start earlier. ...Read more
Screening mammo: According to the American Cancer Society, American College of Radiology, and others, annual screening mammography should begin at age 40. Screening may begin sooner if you are a BRCA carrier or are otherwise at high risk. I see you are 44, you should consider getting one soon. ...Read more
At least every 2 yrs: This is unclear, because a well-done study showed little difference between yearly or every 2 year mammograms in women ages 50-69. The age to start mammograms is also unclear. For women under 50, it takes 1, 904 mammograms to prevent one death from breast cancer. Most groups recommend starting at age 40, but ask your doctor to explain your personal risks and benefits based on your history. ...Read more
Accredited unit: Most mammograms are almost painfree or associated with little discomfort. Some people experience more pain. Use a mammography service that has accreditation. Some services offer a soft pad on the machine which makes it slightly more comfortable. Talk to the technician before the procedure and alert her/him of your pain threshold.. ...Read more
Mammogram: It is not necessary to get a mammogram. A mammogram is a screening test for breast cancer and considered preventive medicine. 1 in 8 women will get breast cancer, including those with strong family history of (maternal side) breast cancer. Since finding breast cancer in the early stages increases the cure rate, it is to a woman's advantage to get screened. ...Read more