October is Breast Cancer Awareness Month. It is an opportunity to learn about breast health, review personal risk factors, and make sure recommended screening has been discussed with a healthcare professional.
What is a screening mammogram?
A mammogram is a low-dose X-ray image of the breast. A screening mammogram is used when a person does not have breast symptoms. A diagnostic mammogram may be ordered when someone has a symptom, an abnormal screening result, or another finding that needs closer evaluation.
When should screening begin?
The U.S. Preventive Services Task Force recommends screening mammography every two years for women ages 40 through 74 who are at average risk. An individual plan may differ based on personal history, a high-risk genetic variant, prior chest radiation, a high-risk breast lesion, or a strong family history.
Which breast changes should be evaluated?
Contact a healthcare provider about a new breast or underarm lump, thickening or swelling, a change in breast size or shape, skin dimpling or irritation, nipple changes, unusual discharge, or another change that is not normal for you. These changes can have causes other than cancer, but they should not be ignored.
How can primary care help?
A primary care clinician can review personal and family history, discuss when screening may be appropriate, evaluate new symptoms, review previous results, and coordinate referrals or additional evaluation when needed.
Questions to bring to your visit
- Am I due for a screening mammogram?
- Does my family or medical history change the recommendation?
- Where should I schedule the test, and how will I receive the result?
- What should I do if I notice a new breast change?
This article is general education, not a diagnosis or a substitute for individualized medical care. Contact a healthcare professional about new breast symptoms. Call 911 for severe or life-threatening symptoms.