Mammography

The risk of breast cancer unfortunately increases with age. The average lifetime risk is 1 in 8 women. It is therefore even more important after menopause to insure an annual breast exam and mammogram is performed.

An annual mammogram is recommended at age 40 or sooner if you have a family history of breast or other cancers. It is one of only three defenses women have against breast cancer today. A monthly breast self exam and an annual clinical exam performed by your doctor also aid in early detection.

Genetic testing if one has a significant family history may also be indicated. The discovery of the BRCA1 gene and it's significance with regards to increased risk for certain types of cancer has brought about changes with regards to recommendations for those with the gene.

Generally, our patients will be given an order for a baseline mammogram at age 40 and then we will order them yearly thereafter. Sometimes, mammograms are ordered earlier depending upon the clinical breast exam or family history.

What is a mammogram?

A mammogram (also called a mammography exam) is a safe, low-dose x-ray of the breast. A high-quality mammogram is the most effective tool for detecting breast cancer early. Early detection of breast cancer may allow more treatment options. It could even mean saving your breast or your life.

When should I have a mammogram?

Talk with your doctor about this. Your risk for breast cancer increases as you get older, so you need to be on a regular schedule for mammograms. Generally, if you are in your 40s or older, having a mammogram every 1 to 2 years could save your life! However, when and how often you have a mammogram is something you need to decide with your doctor, who will consider your breast cancer risk in recommending a mammogram schedule for you to follow.

How can I be sure I'm getting a high-quality mammogram?

The Mammography Quality Standards Act (MQSA) is a federal law that makes sure every mammography facility meets quality standards. Mammography facilities include breast clinics, radiology departments in hospitals, mobile vans, private radiology practices, and other doctors' offices. The Food and Drug Administration (FDA) ensures that facilities all around the country meet MQSA standards. These standards apply to the following people at your facility:

  • the technologist who takes your mammogram,
  • the radiologist who studies your mammogram, and
  • the medical physicist who tests the mammography equipment.