Wellness - Mammography |
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Mammography
A mammogram is an x-ray examination of the breast. From these pictures, a specially trained physician, called a radiologist, can identify abnormalitie
s, such as very small lumps, areas of calcification or other changes. A mammogram can actually detect breast cancer when it is in its earliest, most treatable stages, up to two years before a lump can be felt.
A screening mammogram is an x-ray examination of the breast in a woman who has no breast problems (asymptomatic.) The goal of screening mammography is to find cancer when it is still too small to be felt by the woman or her health professional. Finding breast cancer early by a screening mammogram before symptoms occur greatly improves a woman's chance for successful treatment.
A screening mammogram usually takes two x-ray pictures (views) of each breast. For some patients, more pictures may be needed to include as much breast tissue as possible.
A diagnostic mammogram is an x-ray examination of the breast in a woman who either has a breast complaint (for example, a breast mass, nipple discharge, etc.) or an abnormality found during a screening mammogram. During a diagnostic mammogram, more pictures will be taken to carefully study the breast condition. In some cases, special images known as cone views with magnification are used to make a small area of altered breast tissue easier to evaluate.
American Cancer Society Recommendations for Early Breast Cancer Detection
Women age 40 and older should have a mammogram every year, and should continue to do so for as long as they are in good health. Age alone should not be the reason to stop having a yearly mammogram.
Women in their 20s and 30s should have a clinical breast examination (CBE) as part of their health examination, preferably every three years by a health professional. While the risk of cancer occurring is relatively low for women in their 20s it gradually increases with age. After age 40, women should have a breast examination by a health professional every year.
Breast-self examination (BSE) is an option for women starting in their 20s. Women should be told the benefits and limitations of BSE and should report any breast changes to their health professional right away.
The following risk factors may increase a woman's chance of developing breast cancer:
- Personal history of breast cancer
- Family history
- Previous abnormal breast biopsy
- Genetic alterations
- Reproductive and menstrual history
- Breast density
- Radiation therapy
- Diet and lifestyle factors
Women at increased risk should talk with their health professional about the benefits and limitations of starting mammograms when they are younger, having additional tests or having more frequent exams. Women should discuss with their health professional which approaches are best for them.
Tips for Having a Good Quality Mammogram
The following are useful suggestions for ensuring that you will receive a good quality mammogram:
- Before scheduling your mammogram, discuss with your health professional any significant medical history such as previous breast surgeries, hormone use, family or personal history of breast cancer and any new findings or problems with your breast.
- Schedule your mammogram when your breasts are not tender or swollen (seven to ten days after your period) to help reduce discomfort and to assure a good picture.
- Always describe any breast symptoms or problems you are having to the technologist performing the mammogram so your concerns will be brought to the attention of the radiologist reading your mammogram.
- On the day of the examination, do not apply deodorant, body lotion, powder or perfume around the breast area and under the arms. These products can interfere with the accurate reading of your mammogram films.
- You may find it more convenient to wear a skirt or pants, so only your top must be removed for the mammogram.
- If you do not receive a letter from the facility within ten days, do not assume your mammogram was normal. Call your health professional for your results.
The Wellness Institute
The Wellness Institute and Mammography Center provides mammography services by experienced certified professionals, using equipment that can detect most abnormalities long before the woman or health professional feels it.
The Mammography Center follows the high quality standards required by law:
- Accredited by the American College of Radiology
- Certified by the Food and Drug Administration
Women find privacy, support and education important when having a mammogram. The Mammography Center meets those needs with a private, relaxed atmosphere, a supportive team of health professionals and educational materials on women's health issues.
Women seeking screening mammograms have several payment options including: Medicare, Medicaid, private insurance or self-pay. Please consult with your insurance provider regarding coverage.
The Mammography Center is located in the Wellness Institute on the 3 rd floor of the Outpatient Services Building . For more information or to schedule an appointment, call (202) 269-7958.
