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Get Your Questions Answered About Breast Cancer Screenings

Posted October 26, 2023 by H. Kelley Riley, M.D., MBA, CMO


Woman getting a mammogram

“Early detection is the best protection” is a saying that has empowered people for decades to take charge of their health. It’s a phrase that rings true when it comes to just about any disease, but especially with breast cancer.

The 5-year survival rate for breast cancer is lower in advanced stages of the disease. Also, early detection remains one of the most effective strategies for preventing deaths from breast cancer.

Unfortunately, breast cancer is the second most common cancer found in women in this country (behind skin cancer), according to the U.S. Centers for Disease Control and Prevention.

While breast cancer can’t always be prevented, regular screenings and a healthy lifestyle have been shown to reduce a person’s risk. SummaCare sheds light on the different types of breast cancer screenings and which one(s) may be right for you. 

Clinical breast exams

If you’re in your 20s or 30s, start getting a clinical breast exam every one-to-three years from your primary care provider or gynecologist. In addition, perform breast self-checks at home to become familiar with the characteristics of your breasts so you can recognize when something changes or isn’t right.
Some things to watch for include:
  • Nipple discharge, a rash or peeling skin around the nipple
  • Redness 
  • Tenderness or pain
  • Lumps
  • Changes in the size or shape of the breast
  • Inverted nipple
  • Dimpling or puckering of the skin
  • Changes in color or temperature of the breast 

Mammography

Since the 1960s, mammography (X-ray of the breast) has been the gold standard for diagnosing breast cancer in all stages. Luckily, as knowledge, research and equipment have advanced, so have screening technologies.

There are two types of mammograms available today: 2D and 3D mammograms.

A 2D mammogram captures two-dimensional flat images from the top and side of the breast, but 3D mammography is becoming more popular because it allows breast tissue to be examined layer-by-layer, in multiple views and with finer details. It’s especially useful for detecting cancer in females with dense breast tissue—resulting in earlier detection and decreasing the need for repeat testing for false positive findings.

If you are 40 or older, be sure to talk to your doctor about risk factors that determine how often you should have a screening mammogram. Females should start receiving annual mammograms no later than age 45. 

For women at higher risk of breast cancer, or those with an abnormal mammogram, your provider may recommend one or more of the following tests:

Breast Ultrasound

Breast ultrasound uses sound waves and their echoes to make computer pictures of the inside of the breast. It’s useful for females with dense breast tissue to help providers better investigate abnormal findings identified on a mammogram or a palpable lump on examination.

Breast Magnetic Resonance Imaging (MRI)

A breast MRI uses magnets and radio waves after a contrast dye has been injected into a vein in the arm to take pictures of the breast. This test is used in conjunction with mammograms to screen women who are at higher risk for getting breast cancer. 

The test takes between 45–60 minutes to complete and is an outpatient procedure. A provider order and preauthorization through your insurance is required.

FAST Breast MRI

This 15-minute, highly sensitive FAST Breast MRI uses contrast, magnets and radio waves to detect abnormal breast findings in women with dense breasts not seen on mammograms. The procedure does not involve any radiation exposure. A provider’s order is required for this screening. 

Genetic Testing

For patients who meet the criteria, genetic testing is an option to determine if they carry a gene that may increase their risk of developing breast, ovarian or other cancers. The two genes most linked to an increased risk of breast cancer are BRCA1 (BReast CAncer gene one) and BRCA2 (BReast CAncer gene two).

Depending on your age and family history, talk to your provider for recommendations on when you should have your first mammogram. You’re never too young to take charge of your breast health. 

Learn more about breast health and schedule a screening mammogram today by calling 234.312.5800.
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