Mammogram and other screening techniques for breast problems

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Why is breast screening important?

In the United States, one in eight women will develop breast cancer by age 75 years. Regular breast screening can help find cancer at an early and more curable stage. Screening also can find problems in the breasts that are not cancer.

What is mammography?

Mammography is the primary tool used to screen for breast cancer and other problems. Mammography uses X-ray technology to view the breasts. The images created are called a mammogram. A physician called a radiologist reads the images.

Why is mammography done?

Mammography is done for two reasons: 1) as a screening test to check for breast cancer in women who do not have signs or symptoms of the disease, and 2) as a diagnostic test to check lumps or other symptoms that you have found yourself or that have been found by an obstetrician–gynecologist (ob-gyn) or other health care professional. This FAQ focuses on screening mammography.

Is it painful to get a mammogram?

The pressure of the plates often makes the breasts ache. This discomfort is brief. If you are still having menstrual periods, you may want to have the test done in the week right after your period. The breasts often are less tender after your period.

My mammogram report mentions breast density. What is this?

Fibrous tissue and fat give breasts their shape. When breasts are dense, they have more fibrous tissue and less fat. Breast density is a normal and common finding on a mammogram, but breast density may make it harder for a radiologist to see cancer. If your report says you have dense breasts, your ob-gyn or other health care professional may discuss other screening tests in addition to mammography.

When should I start having screening mammography?

For women at average risk of breast cancer, screening mammography is recommended every 1–2 years beginning at age 40 years. If you have not started screening in your 40s, you should start having mammography no later than age 50 years. Screening should continue until at least age 75 years.

How is a clinical breast exam done?

Your breasts during routine checkups. This is called a clinical breast exam. The exam may be done while you are lying down or sitting up. The breasts are checked for any changes in size or shape, puckers, dimples, or redness of the skin. The doctor may feel for changes in each breast and under each arm.