Are Mammograms the Key to Beating Breast Cancer? What Every Woman Over 40 Must Know
A mammogram is an X-ray of the breast, serving as a critical screening tool for the detection of breast cancer. When combined with regular clinical exams and monthly breast self-examinations, mammograms play a vital role in the early diagnosis of breast cancer.
Although the prospect of undergoing a mammogram may be unsettling, it is important to have annual mammograms starting at age 40. Breast cancer is the second most common cancer among women in the United States, following skin cancer.
In this article, we will explore the workings of mammograms, the recommendations for who should get them, and other important information. [1]
Why Are Mammograms Important?
When your doctor schedules a mammogram as a standard check-up to look for cancer or any abnormalities, this is called a screening mammogram. During this procedure, a specialized device captures multiple pictures of your breast.
Should you present with a lump or any signs suggestive of breast cancer, your physician will recommend a diagnostic mammogram. This is also the case if you have breast implants.
Diagnostic mammograms take a more comprehensive approach compared to screening mammograms. They often involve a greater number of X-rays to capture the breast from various angles. Additionally, your radiologist might zoom in on any suspicious areas.
Who Is Recommended to Undergo Mammography Screening?
Leading health groups, such as the National Comprehensive Cancer Network, advise that women aged 40 and above should undergo a mammogram once every one to two years. The American Cancer Society suggests initiating regular screenings at 45.
Should you have a personal or a family background of breast cancer, your healthcare provider might suggest you begin mammograms sooner, increase their frequency, or employ extra testing methods. [2,3,4]
What's It Like to Get a Mammogram?
Many folks experience a bit of discomfort when their breasts are pressed for a mammogram. How you'll feel can differ based on several personal aspects, like:
- The size of your breasts
- How sensitive your breasts are, especially if your period is on its way
- How experienced the technician is
Any soreness or unease you have usually passes quickly. The whole process is over in about 20 minutes, though the uncomfortable bits are just brief moments. [5]
How to Get Ready for Your Mammogram?
On the day of your mammogram, it's important to stick to a few rules. Don't use these products because they can appear as white specks in the results:
- Deodorants
- Body powders
- Perfumes
- Lotions or creams on your chest or armpits
Always inform your radiologist if you are pregnant or nursing before starting the test. Typically, mammograms aren't done during these periods. However, if it's essential, your physician may recommend alternative options like an ultrasound for screening.
How Is a Mammogram Typically Performed?
You'll remove your top and any jewelry around your neck, then don a front-tie robe or gown. You might be asked to stand or sit in the exam room, depending on the clinic's setup.
Your breast will rest on a flat X-ray platform, and a compressor will press down to spread out the breast tissue, yielding a clearer image. Holding your breath briefly during each snapshot is common. While it may be uncomfortable or pressurized, it's typically over quickly.
Your physician will inspect the images in real-time. They might request extra shots from different angles if they spot something that's not clear or warrants a closer look. This is a standard step, so no need for alarm.
The Role of Digital Mammograms
If available, digital mammograms may be the go-to, especially for those under 50 with denser breast tissue more common in this demographic.
With digital mammography, the X-ray is converted into a digital image and stored on a computer, offering instant access. This speed means no waiting for film to develop.
Moreover, the technology enhances your doctor's ability to detect any abnormalities that traditional mammograms might miss, thanks to the computer's refined imaging capabilities.
Is It Safe to Get a Mammogram?
Absolutely, mammograms are safe.
Just like any X-ray, a mammogram does expose you to a slight bit of radiation. But the danger from this is incredibly minimal.
Should someone be expecting and urgently require a mammogram before giving birth, they’d usually be given a lead apron to wear for the test.
What's The Price of a Mammogram and Where Can You Get It?
Once you hit 40, most health insurance plans should pick up the tab for your mammogram. But it's smart to call your insurer to see what kinds of mammograms they'll pay for and if there are any costs you'll need to cover yourself.
For those without insurance or whose insurance skips out on mammograms, there are options. The National Breast and Cervical Cancer Early Detection Program offers them for free or at a reduced cost. Plus, every October, in light of Breast Cancer Awareness Month, you can snag a deal on mammograms via the Food and Drug Administration’s website.
When looking for a place to get your mammogram, aim for one that focuses on that service. Centers certified by the American College of Radiology are top-notch since they have mammogram-savvy technicians and gear that’s up to par and checked up on the regular.
You might want to look for a spot that can handle extra tests like MRIs or ultrasounds, too, in case your screening turns up something that needs a closer look.
Sticking with the same center for your yearly mammogram is a good move for consistent tracking. But if you're off to a new place, bringing along your previous mammogram pics is helpful for comparison’s sake. [6,7,8]
After Your Mammogram: Outcomes and Subsequent Measures
Your mammogram pictures can reveal calcium build-ups in your breasts. This test also spots cysts, which can appear and disappear with some people's menstrual rhythms, as well as any tumors, whether they're harmless or malignant.
There's a widely-used standard for interpreting mammograms known as the Breast Imaging Reporting and Database System (BI-RADS).
This system includes seven levels, numbered from zero to six. Each level indicates if more images are needed and assesses the likelihood of a tumor being benign or malignant.
Each level comes with its recommended course of action, which might include:
- Taking more images
- Comparing with previous mammograms
- Continuing with regular mammogram check-ups
- Scheduling a follow-up in six months
- Conducting a biopsy
Your physician will go over your mammogram results with you and discuss what comes next at your follow-up meeting. [9]
Conclusion
Regular mammograms stand as a vital measure in the early detection and effective management of breast cancer, particularly for women over 40. The slight discomfort during the test is a momentary sacrifice for a procedure that can have life-altering benefits, catching cancer early when it is most treatable.
While technology and healthcare programs have made mammography more accessible and reliable, embracing a holistic approach to health is equally important. Alongside preventive screenings, incorporating innovative health supplements like HealthspanX's Ultra Pure NMN™ can be a valuable addition to your health regimen, supporting cellular vitality and potentially offering additional defense mechanisms in the ongoing battle against diseases, including breast cancer.
Citations
- Alkabban FM, Ferguson T. Breast Cancer. [Updated 2022 Sep 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482286/
- Oeffinger KC, Fontham ET, Etzioni R, et al. Breast cancer screening for women at average risk: 2015 guideline update From the American Cancer Society. JAMA. 2015;314(15):1599-1614.
- Saslow D, Boetes C, Burke W, et al. American Cancer Society guidelines for breast screening with MRI as an adjunct to mammography. CA Cancer J Clin. 2007 Mar-Apr;57(2):75-89.
- Helvie MA, Bevers TB. Screening Mammography for Average-Risk Women: The Controversy and NCCN's Position. J Natl Compr Canc Netw. 2018;16(11):1398-1404. doi:10.6004/jnccn.2018.7081
- Sardanelli F, Fallenberg EM, Clauser P, et al. Mammography: an update of the EUSOBI recommendations on information for women. Insights Imaging. 2017;8(1):11-18. doi:10.1007/s13244-016-0531-4
- Champaign JL, Cederbom GJ. Advances in breast cancer detection with screening mammography. Ochsner J. 2000;2(1):33-35.
- Wong FL, Miller JW. Centers for Disease Control and Prevention's National Breast and Cervical Cancer Early Detection Program: Increasing Access to Screening. J Womens Health (Larchmt). 2019;28(4):427-431. doi:10.1089/jwh.2019.7726
- Kivel M. FDA's mammography facility quality assurance program. Adm Radiol. 1994;13(2):43-44.
- Timmers JM, van Doorne-Nagtegaal HJ, Zonderland HM, et al. The Breast Imaging Reporting and Data System (BI-RADS) in the Dutch breast cancer screening programme: its role as an assessment and stratification tool. Eur Radiol. 2012;22(8):1717-1723. doi:10.1007/s00330-012-2409-2