Breast Health » Mammography
The Susan G. Komen Breast Cancer Foundation recommends the following screening guidelines:
- Monthly breast self-examination (BSE) beginning by age 20
- Clinical breast examinations (CBE) at least every 3 years beginning at age 20 and annually after age 40
- Annual screening mammography beginning at age 40
- Women under age 40 with either a family history of breast cancer or other concerns about their personal risk should consult a healthcare provider about risk assessment and when to begin mammography
A clinical breast exam is performed by a healthcare provider. It includes visual examination and palpation (feeling) of the entire breast and underarm area, and is performed in both sitting and lying down positions. You should get a CBE by a healthcare provider at least every three years beginning at age 20 and yearly after age 40.
A mammogram is an x-ray of the breast. This is the best screening tool widely available to detect breast cancer at its earliest, most treatable stages. A mammogram is done in an outpatient facility like your doctor’s office, a hospital clinic, or a mobile van. The picture is taken by a technologist. The x-ray machine uses very little radiation. A radiologist will look at the x-ray picture for cancer or other breast changes. These changes are small and hard to see, so it is best to have a mammogram every year. That way, a radiologist can compare your x-rays to see if there have been any changes.
Starting at the age of 40, women should have annual screening mammograms. Women under age 40 with a family history of breast cancer and other concerns about their personal risk should consult a healthcare provider about risk assessment and when to begin screening mammography.
Common Questions about mammograms
Q: Where can I get a free or low-cost mammogram?
A: Contact your local Komen Affiliate, Health Department, Breast and Cervical Cancer Control Prevention (BCCCP) Program, YWCA's Encore Plus Program and the American Cancer Society.
Q: Does the radiation from a mammogram cause cancer?
A: Today, mammography has little radiation risk. The amount of radiation that is used in mammography has been reduced greatly and is considered to be safe for women of the appropriate age.
Q: What can I expect when I go for my mammogram?
A:You will stand in front of a special machine. The technologist will place your breast on a platform. She will use a clear plastic plate to press your breast while the picture is taken. This will not harm your breast. In fact, flattening it reduces the amount of x-rays needed. Although it may be uncomfortable, it should not hurt, so be sure to tell the technologist if the pressure becomes painful.
Q: How effective are mammograms?
A: Mammography has the ability to detect breast cancers before they can be felt. However, a small percentage of breast cancers cannot be identified by mammography. For this reason, it is important to follow the guidelines for CBE and to practice regular BSE.
Q: What is a diagnostic mammogram?
A: A diagnostic mammogram is used to evaluate a woman with a breast problem/symptom or an abnormal finding on a screening mammogram. The diagnostic mammogram will be focused on the areas where there appeared to be abnormal tissue. It should be performed under the direct, on-site supervision of a board certified radiologist.
For more information on mammography visit: www.komen.org
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