Test Overview
A mammogram is
an
X-ray test of the
breasts
(mammary glands) used to screen for breast
problems, such as a lump, and whether a lump is fluid-filled (a
cyst) or a solid mass.
A mammogram is
done to help screen for or detect
breast cancer. Many small tumors can be seen on a
mammogram before they can be felt by a woman or her health professional. Cancer
is most easily treated and cured when it is discovered in an early stage.
Mammograms do not prevent breast cancer or reduce a woman's risk of developing
cancer. But regular mammograms can reduce a woman's risk of dying from breast
cancer by detecting a cancer when it is more easily treated.
Experts have different recommendations for how often you should have a
mammogram.1
- For women older than age 50, regular mammograms
(every 1 to 2 years) are recommended.
- For women between the ages of
40 and 50, the benefits of mammogram are not as clear. Talk with your health
professional to determine when to start and how often to have a mammogram. Some
organizations recommend mammograms every 1 to 2 years while others recommend
mammograms every year. Most organizations recommend that women have their first
mammogram at age 40.
- Your health professional
may recommend testing more often if you have risk factors for breast cancer.
Any woman with a personal or family history of breast cancer is recommended to
have yearly mammograms.
A mammogram that appears to detect a cancer, when in fact a
cancer is not present (false-positive results), can occur at
any age but is more likely to occur in younger women. About 5% to 10% of
screening mammograms will require more testing. This may include another
mammogram of specific breast tissue (compression view) or another test, such as
an
ultrasound or
biopsy. Most of these tests will show no cancer is
present.
Mahon SM (2003). Evidence-based practice:
Recommendations for the early detection of breast cancer. Clinical Journal of Oncology Nursing, 7(6):
693–696.
Pisano ED, et al. (2005). Diagnostic performance of
digital versus film mammography for breast-cancer screening. New England Journal of Medicine, 353(17):
1773–1783