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The American Cancer Society estimates that one out of every
nine women will develop breast cancer. What can you do to help decrease your
risk of breast cancer? One way is by making sure you are getting regular
mammograms. So, when should you start getting screened? A baseline mammogram is
recommended between 35-40 years of age. Between 40 and 50 years of age, either
a mammogram every year or every other year is acceptable. After age 50, annual
mammograms are recommended.
Mammograms are interpreted by radiologists. The key
abnormalities that they are looking for are calcifications and masses.
Microcalcifications are small specks of calcium that may suggest the presence
of a cancer in a particular area of the breast. Depending on the appearance of
the calcifications, the radiologist may recommend further evaluation by repeat
mammograms, close follow-up mammograms or biopsy of the area. Masses on
mammogram may be benign, like a cyst or fibroadenoma. Ultrasound or needle
aspiration may be recommended in order to obtain a clear diagnosis. About
10-20% of cancers will not be seen on mammogram because their appearance is too
similar to the surrounding breast tissue. That is why regular annual breast
exams by a physician and routine monthly self breast exams are important
too.
Digital mammography with computer aided detection is one of
the new technologies in early detection of breast cancer. It has been shown to
detect up to 28% more cancers than the routine mammogram in women 50 years old
and younger, women in the perimenopausal state and women with particularly
dense breast tissue. The images are collected in the same way as the previous
method but the images are then stored on computer which allows for better
picture quality and evaluation by the radiologist.
Remember that early detection is key - when breast cancer is
found early, the five-year survival rate is 97%!
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