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Mammography: What, Why, Hints

Screening Guidelines

Breast Self-Examination: Why, How, When

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STATISTICS

More women in the United States are diagnosed with breast cancer every year than with any other cancer except skin cancer.  This year, about 175,000 cases will be diagnosed and about 43,300 women will die of the disease.  Many of these live could have been saved by early diagnosis.

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WHAT is a mammogram?

  A mammogram is an X-ray of the breasts.  It is the best method doctors have for finding breast cancer at an early stage, when cancer treatment is more successful.  Sometime between the ages of 35-40, mammography should become a regular part of your health care. 


WHY should I have a mammogram?

  Mammography can detect some types of cancer long before these growths become large enough to be felt during a physical exam.  If a cancerous growth is found early enough, there are more ways in which it can be successfully treated, and the chance for cure is greater.  Caught early enough, breast cancer can be cured.  In fact, if all women over 50 had regular mammograms, their death rate from breast cancer would drop by a third!
  Doctors estimate that more than half a million women in the United States have undiagnosed breast dancer that could be detected by mammography.  Many of these cases can be cured if they are caught in time.  Considering how small the risks of mammography are, especially compared with the benefits, it makes good sense to talk to your doctor about making regular mammograms part of your routine health care. 
  
  No medical procedure, including mammography, is perfect. But combined with monthly self breast self-exams and regular checkups with your doctor, mammography is an excellent method to detect cancer in an early-and more curable-stage.


Helpful Hints:

A mammogram is a simple test that 
requires only a little planning.
 

  Schedule the test for one week after your period when your breasts are less tender. 
  
  Make sure your clinic gets your last mammogram if it was done somewhere else.  This lets the doctor compare the two. 
  On the morning of your test: 
- Wash your breasts and underarms
- Don't use deodorant, powder or perfume; the particles may create a poor picture 
- Wear a blouse or sweater that you can remove easily 
- Check to see how early you need to arrive
  Let the technologist know if:
- You think you may be or are pregnant 
- You have breast implants
- You have any scars or moles on or near your breasts
- You've had a breast biopsy or surgery
- You're breast feeding

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Breast Cancer
SCREENING GUIDELINES

The American Cancer Society guidelines for the early detection of breast cancer:

Age 20-39:

  Have a clinical breast examination (CBE) by a doctor or nurse every three years
  Do a breast self-examination every month

Age 40 and over:

  Have a mammogram every year
  Have an annual clinical breast examination (CBE) by a doctor or nurse (CBE should be done close to the time of the mammogram)
  Do a breast self-examination every month

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Why is a BREAST SELF-EXAMINATION (BSE) important?

  There are many good reasons for doing a breast self-exam each month.  One reason is that it is easy to do and the more you do it, the better you will get at it.  When you get to know how your breasts normally feel, you will quickly be able to feel any change, and early detection is the key to successful treatment.

Remember: A breast self-exam could save your breast- and save your life.  Most breast lumps are found by women themselves, but in fact, most lumps in the breast are not cancer.  Be safe, be sure.


How to do a BREAST SELF-EXAMINATION:

1. Lie down and put a pillow under your right shoulder.  Place your right arm behind your head.

2. Use the finger pads of your three middle fingers on your left hand to feel for lumps or thickening in your right breast.  Your finger pads are the top third of each finger.

3. Press firmly enough to know how your breast feels.  If you're not sure how hard to press, ask your health care provider.  Or, try to copy the way your health care provider uses the finger pads during a breast exam.  Learn what your breast feels like most of the time.  A firm ridge in the lower curve of each breast is normal.
4. Move around the breast in a set way.  You can choose either the circle (A), the up and down (B), or the wedge (C).  Do it the same way every time.  It will help you to make sure that you've gone over the entire breast area, and to remember how your breast feels.

5. Now examine your left breast using right hand finger pads.
6. Repeat the examination of both breasts while standing, with one arm behind your head.  The upright position makes it easier to check the upper and outer part of the breasts (toward your armpit).  You may want to do the standing part of the BSE while you are in the shower.  Some breast changes can be felt more easily when your skin is wet and soapy.

 

For added safety, you can also check your breasts for any dimpling of the skin, changes in the nipple, redness, or swelling while standing in front of a mirror right after your BSE each month.

If you find any changes, see your doctor right away.


When to do a BREAST SELF-EXAMINATION:

  The best time to do breast self-exam is right after your period, when breasts are not tender or swollen. If you do not have regular periods or sometimes skip a month, do it on the same day every month.

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OTHER WEB SITES

American Cancer Society
phone: 1-404-320-2408

American Heart Association
phone: 1-800-AHA-USA1

North American Menopause Society
phone: 1-800-774-5342


National Cancer Institute
1-800-4-CANCER

Oncology.com

Healthology

OnHealth

The Breast Clinic

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If your questions were not answered satisfactorily or if you have any other concerns, PLEASE talk to your health care provider,
OR
contact

Elizabeth Hilson
Director
BY
email:
bhilson@catskill.net

call:
607-431-5185
or visit:
Suite 401 
FoxCare Center
Oneonta, NY

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* Information on this page taken from: 
-Cancer Facts for Women. An American Cancer Society Pamphlet. American Cancer Society, Inc. 1999.
-Mammography: An X-ray Exam of Your Breasts. A Krames Communications Brochure. 1997.
-Special Procedures: Mammography. An ACOG Patient Education pamphlet. The American College of Obstetricians and Gynecologists. 1989.