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John A. Haugen
Associates is a FDA Certified Mammography Facility.
At John A. Haugen Associates we understand
that the experience of getting a mammogram is different for every
woman. Thats why we listen to your concerns and questions
first, then work to help you understand the process so it can be
as comfortable for you as possible.
What is a mammogram:
A mammogram is an X-ray image of the breasts. It is used to detect
tumors and cysts and to help differentiate benign (non-cancerous)
and malignant (cancerous) disease.
When to get a mammogram:
Theres a lot of confusion out there about when and how often
to get a mammogram. The American Cancer Society and the American
College of Radiology revised the screening guidelines in June 1997.
The recommendation is a baseline at age 35 then annually starting
at the age of 40. If there is a family history of breast cancer,
female relatives should start annual screenings at an age 10 years
before the relatives cancer diagnosis. Mammograms are not
recommended during pregnant or for the first six months after stopping
nursing. If at ANYTIME you discover a lump, call your healthcare
provider.
How the test is performed:
You will be asked to undress from the waist up and will be offered
a gown to wear.
One breast at a time is rested on a flat surface that contains the
X-ray film or receptor, and a device called a compression paddle
will be pressed firmly against the breast to help spread out the
breast tissue so there are less overlapping structures.
The X-ray pictures will be taken from several angles.
How to prepare for the test:
Do not wear deodorant, perfume, powders, or lotions under the arms
or on the breast the day of the mammogram. These substances may
obscure the images or cause a false positive reading because of
metallic like specks contained in them.
Notify your health care provider (and/or the radiologist) if you
are pregnant or breast-feeding.
How the test will feel:
When the breast is compressed, there may be some discomfort.
Why the test is performed:
Mammography is performed to screen healthy women for signs of breast
cancer. It is also used to evaluate a woman who has symptoms of
a breast disease such as a lump, nipple discharge, breast pain,
dimpling of the skin on the breast, or retraction of the nipple.
Screening mammograms are important for early breast cancer detection.
In addition to mammography, clinical breast exams (where the clinician
palpates with the fingers) and breast self-examinations are important
for breast cancer screening. Women age 20 or older should receive
clinical breast exams every year. The American Cancer Society recommends
that all women age 20 and older perform monthly breast self-examination.
These are general recommendations for mammography, clinical breast
exams, and breast self-exam. Women should discuss with their personal
physician how often to receive breast cancer screening, including
mammography and clinical breast exams. Recommendations vary depending
on personal risk factors such as a strong family history of breast
cancer.
Normal values:
Breast tissue that shows no evidence of a mass (aggregations of
cells) or calcification is considered normal or negative.
What abnormal results mean:
A well-outlined, regular, clear spot is more likely to be benign,
such as a cyst.
(non-cancerous)
A poorly outlined, opaque area is more likely to suggest a tumor.
However, not all benign lesions are perfectly round, and some cancers
may appear well defined. Sometimes the doctor will use ultrasound
to further examine the abnormality and evaluate the next best step.
When findings suspicious for a cancer are found on a mammogram and/or
ultrasound, a biopsy is performed to determine if a lesion is benign
or cancerous.
What the risks are:
The level of radiation is low and any risk from mammography is exceedingly
low. If you are pregnant and need to have an abnormality checked,
a lead apron will be used to shield the abdominal area.
Special considerations:
A mammogram is the most accurate test for breast cancer. Approximately
90% - 95% of breast cancers are detected with mammography. Mammography
is important because it can detect cancers before you can feel them
with your fingers.
For more information please visit the following links:
MedLine
Plus
Breastcancer.org
Radiology
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