Mammogram, etc. The best test to screen for breast cancer is a mammogram. Most organizations in the US recommend beginning this at age 40, unless one is at high risk. This may be supplemented by yearly physician examination and monthly breast self-examination.
Mammogram. Women age 20-40 should have a clinical breast exam every 2-3 years. Then women should have a screening mammogram every year starting at age 40 or 5 - 10 year younger than when a family member developed breast cancer, whichever comes first.
Mammogram 4 majority. For majority of population, mammogram is the recommended screening test for breast cancer and recommended to be started at age of 40. In high risk group- i.e. Life time risk more than 20-25, has brca genetic mutation- especially at young age with very dense breast - annual mammogram and MRI of breast would be needed.
Physical exam. The mainstay of surveillance for breast cancer in a mastectomized breast is frequent physical exam by a physician. I examine my patients every 6 months for the first five years after mastectomy. It is also important to continue getting mammograms annually in the non-mastectomized breast.
Exams. Through physical exams and sometimes imaging. Have a mastectomy does not take your risk of having breast cancer to 0%.
Mammograms, exams. The best test to screen for breast cancer is a mammogram. Most organizations recommend beginning yearly mammography at age 40. This can be supplemented with yearly physician examination and monthly self-examination, although it's effectiveness is variable.
Screening. Through clinical breast exams and screening mammography.
Increased chance. Of developing cancer in the other breast, annual mammograms. Also, your doctor will also test for liver and bone spread with blood tests.
Physical exam. Physical exam, both self exams and by a doctor, are the best ways to look for recurrence after mastectomy. For women who had reconstruction with a tram or diep flap (not implant), mammogram is sometimes recommended. For women with implants, MRI can be considered but is not routine.
Is there any proof that radiation from mammograms can cause breast cancer? Is there any legitimate alternative to screen for breast cancer?
NO. There is some other technologies like breast MRI and ultrasound but the gold standard test is mammography.
Minuscule risk. There was a trial done in high risk women at the national cancer institute. It took young women and randomized them to yearly mammograms starting at age 30 or one at 30, 35, and then yearly at 40. Those that had yearly mammograms starting at 30 had a higher risk. Now this was prior to digital mammograms (which have less radiation). Hence, the risk is very small and benefits outweigh the risks.
YES and YES. There is no doubt that mammograms can cause breast cancer but we are not sure how often; conservative estimates say about 1 in 1000 will get cancer from mammograms while others say they can increase risk up to 20% & nobel prize winner john gofman believes up to half of cancers are caused by x-rays! Thermography is one alternative. See my comment for links & further discussion of a complex issue.
MammogramsSAVELives. The radiation exposure of a digital mammogram is 3.7mgy. This is associated with a lifetime-attributable risk of breast cancer of 1.3 cases per 100, 000. Mammography is a safe, proven technique for finding cancers well before they are palpable and there is no controversy about its use after age 50. Thermograms are 25% as sensitive as mammograms and not suitable for screening.
Do self-exam also. There's still disagreement about the value of mamography in the scientific community, but it centers on the cost and problems of false-positives rather than causing cancer. Back when I was in med school, I was the only person who took a few minutes with each women to discuss and teach breast self-exam. I'm skeptical about the more recent studies that question its value since it's often done poorly.
No. Yes. There is still no definite proof that mammograms cause breast cancer. The concern for increasing cancers is based on projections from data originally obtained from the atomic bomb results in Japan in 1945. But everyone should be cautious and conservative when it comes to possibly causing cancer. The alternatives for mammograms include MRI and Ultrasound. Discuss options with your Doctor.
There is no. Proof that mammograms cause cancer. Risk calculations are based on data extrapolated from radiation induced cancers from much higher doses. See xrayrisk. Com for risk calculations. Currently mammography is the standard of care for screening: the consensus is that the benefits far outweigh the minimal theoretical risks. The alternatives, such as ultrasound and MRI, have their own drawbacks.
At what age should you be screened for breast cancer or cervical cancer if grandmother and aunt had each at early age in 30s/40s? Brca testing? ;
Screening. The pap smear is the standard screening test for cercival dysplasia/cancer. You should have routine pap smears starting when you first became sexually active. Mammograms are effective screening tools especially as women age, they are not effective for younger women with dense breasts. Speak with a genetic councilor about brca testing. Sounds to me like you should be tested.
Risk assessment. Cervical cancer is mostly related to hpv virus, you get your paps as any other woman, starting around 21. You should talk to a genetic counselor to get a good family history and probably get tested for brca and other high risk genes. Even if negative, and depending on the circumstances, you may be considered high risk and be a candidate for enhanced screening or risk reduction manipulations.
Different for each. You've had sex, so you should have yearly pap smears to detect cervical cancer. (this is not related to brca.) if your aunt and grandmother are on the same side of your family, and they both had breast cancer, you may meet criteria for brca testing. Genetic counseling is the next step. You don't need mammograms until 40 (unless you have a mutation), but do breast self-exam monthly!
See genetics. Early age breast cancer might signal an inherited gene mutation such as the BRCA1 or BRCA2 gene, for which screening would begin around the age of 25. See a geneticist to assess risk for an inherited cancer syndrome. Cervical cancer screening begins by age 21. Family history may be a sign of shared environmental or lifestyle factors but inherited risk unlikely; tell your GYN the family history.
Yes. A simple blood test is available to check if someone carries the trait responsible for many forms of the hereditary type of breast cancer. The brca test should only be performed on those at high risk, and only after counseling by a specialist in hereditary diseases. In general, if you have two close relatives with breast or ovarian cancer, especially at an early age, you may qualify.
Yes. Testing should generally start with an affected individual first if there is one available and willing. Once a mutation is identified, any first degree relative (particularly mothers, sisters, and daughters but also males) would have a 50% chance of carrying the same mutation and should be offered testing. At this point site specific testing (read: less expensive) testing can be offered.
Yes. They should see a genetic counselor and if appropriate genetic testing can be performed.