Cancer Screening

Mammogram Screening

Risk Factors

Being Female (1% of cases occur in men) Breast Density
Family history of breast or Ovarian Cancer
Starting menstruation at a young age
First Pregnancy at 30+ years of age
Having no children
Post Menopausal Hormone Replacement therapy
Postmenopausal obesity
Alcohol consumption at any age
Ionizing radiation
As you grow older your risk increases

Breast Cancer Screening Guides Individuals with a High Risk of Breast Cancer

Breast Cancer Risk	Monthly Screening	Recommended Annual Diagnostic Testing
Men & Women with a family history of breast cancer	Monthly Self Breast Exam	Mammogram and Next Gen Automated 3-D Ultrasound or MRI
Women with Dense Breasts	Monthly Self Breast Exam	Mammogram and Next Gen Automated 3-D Ultrasound or MRI
Women with Scar Tissue	Monthly Self Breast Exam	Mammogram and Next Gen Automated 3-D Ultrasound or MRI
Women with Breast Implants	Monthly Self Breast Exam	Mammogram and Next Gen Automated 3-D Ultrasound or MRI
A Change in Your Breast	Contact Your Health Care Team Immediately	Mammogram and Next Gen Automated 3-D Ultrasound or MRI

The American Cancer Society Guidelines for Healthy Women

The 2015 ACS guide is for healthy women who have none of the risk factors normally associated with an elevated risk of breast cancer.

Age Range	Monthly Screening	Recommended Annual Diagnostic Testing
Age 40 thru age 44	Monthly Self Breast Exam	Optional Mammogram Healthy women, without any of the risk factors associated with a higher risk of breast cancer can choose whether to start annual mammography screenings. Your choice should be made only with a complete understanding of the risks and benefits of mammography and a discussion with your health care team.
Age 45 thru age 54	Monthly Self Breast Exam	Mammogram or (Some Doctors are now recommending alternating between Mammogram and 3-D Ultrasound)
Age 55 thru and over	Monthly Self Breast Exam	Mammogram (Some Doctors are now recommending alternating between Mammogram and 3-D Ultrasound)

*Special Note:

If during your self-examination any change is noted (lumps, thickening of the tissue, etc.) You should be examined by your doctor or another qualified member of your health care team as soon as possible.

Age and Breast Cancer Risk

Breasts are made of fat and glandular tissue.

When there is more glandular tissue then fat, breast is considered Dense.

Breast density is determined by the radiologist from reading your mammogram, and it is classified into four categories.

Risk Factors for Breast Cancer

Fatty <25% dense tissue
Scattered area of fibro glandular density 25 – 50% dense tissue
Heterogeneously dense – 50 -75% dense tissue
Extremely dense. – > 75% dense tissue

Breast density is not determined by breast size or touch.

Dense breasts can feel soft, lumpy or firm and so can fatty breasts.

Dense breasts are common and normal.

43% of women over age 40 have dense breasts.

Dense breast is linked with increased risk of developing breast cancer. Women with extremely dense breast tissue have 4-6 times higher risk of developing breast cancer than women with fatty breasts.

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