Prevention & Detection
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Mammography
A mammogram is a low-level x-ray of the breasts. Although not foolproof, it is considered the best method of detecting lesions (abnormal growths). It can detect lesions in breast tissue which might otherwise go unnoticed because they are very small or deeply buried and cannot yet be felt during palpation. This makes mammography particularly valuable as a screening tool in detecting early breast cancer.
If you are symptom-free, it is recommended that you have a "baseline" mammogram sometime by age 40 to establish what is normal for your breasts. The American Cancer Society recommends women age 40 and over have a screening mammogram every year even if they do not display symptoms of breast problems. If a suspicious lump is found, it should be biopsied, even if it is not seen on a mammogram. Whatever your age, your doctor may recommend a mammogram more frequently if your medical history indicates that you are at a higher risk for breast cancer.
Approximately half the women who have mammograms complain of some discomfort. This discomfort is due to the breast compression which is needed to obtain a clear picture of the breasts with the lowest amount of radiation.
Do not be alarmed if, after your mammogram, you notice some temporary discoloration of the skin of one or both breasts. This is also the result of breast compression. Remember, though this may be uncomfortable, it is absolutely essential because it improves the accuracy of the test and reduces the amount of radiation needed to get a clear picture.
If the discomfort continues, buffered aspirin or acetaminophen (Tylenol) may help relieve the pain, provided you are not allergic to either of these medications.
Be aware that:
- Breast compression is not dangerous and does not damage the breast tissue.
- The discomfort is only temporary.
The mammogram is the most accurate method, to date, of detecting breast cancer, but it does not pick up everything. It is therefore very important that you do your monthly breast self-examination and see your doctor whenever s/he recommends.
Note: Do not use deodorant or talc dusting powder under your arms before having a mammogram.
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