Mammography Myths

June 10, 2009

"Breast cancer is one of the most common cancers in women, and a mammogram is the best way to detect cancer early," says Nancy Gregory, M.D., co-director of Beaumont's division of Breast Imaging and Intervention. "The American Cancer Society recommends that women over age 40 have a screening mammogram every year for as long as they are in good health."

So what's stopping you from making your appointment?

It's too painful

You will feel some pressure as the mammogram is performed, but any discomfort will only last a few seconds. Because breasts are more sensitive just before your menstrual period, you should try to schedule your mammogram seven to 10 days after the start of your period.

I can't afford it

Routine mammograms in women over age 40 are considered preventive care and are covered by most insurance companies. If you have Medicare, Medicare will help pay for a mammogram once a year. There are also state and federal programs to help women pay for a mammogram every year. You can call the American Cancer Society toll-free, 800-227-2345, for more information.

I'm not at risk for breast cancer

"If you're a woman, you're at risk for breast cancer," says Dr. Gregory. "Almost 70 percent of women with breast cancer have no known risk factors."

There are so many places to get a mammogram, I don't know where to go.

By doing a little research and asking the right questions, you can ensure you're receiving a high-quality mammogram. The American Cancer Society recommends that you:

Ask to see the FDA certificate that is issued at the center. The FDA requires that all facilities meet high professional standards of safety and quality.
Use a facility that specializes in mammograms and does many mammograms a day.
If you are satisfied with the quality, go to the same facility on a regular basis so your mammograms can be compared from year to year.

It's not safe to be exposed to radiation

With modern mammography machines, the high-quality images produce a low amount of radiation. "Strict guidelines are in place to ensure that the equipment uses the lowest dose of radiation possible," says Dr. Gregory. "The doses are very small and tightly regulated by the FDA."

Should I get a digital mammogram or is film fine?

Findings from a 2005 national research study conducted at Beaumont showed that digital mammograms are more effective in detecting breast cancer than standard film mammograms for some women. The groups benefiting the most include pre- and peri-menopausal women, younger than 50 with very dense breasts.

Should I get a breast MRI?

If you're at high risk for breast cancer, your physician may recommend a breast MRI in addition to a screening mammogram.

Not every imaging center offers breast MRI, and the American Cancer Society recommends choosing a facility that also offers MRI-guided breast biopsy to avoid having the test repeated when the biopsy is done.

You can schedule an appointment for a breast MRI at Beaumont Hospitals by calling Beaumont's Appointment Center toll-free, 800-328-8542.

High-risk Breast Program: Leading-edge care for patients

Studies have shown that for some women at high risk, breast cancer can actually be prevented. And when prevention isn't possible, early detection means survival rates increase up to 95 percent.

"At Beaumont, high-risk patients have the most innovative medical options available anywhere," says Nayana Dekhne, M.D., from Beaumont's Comprehensive Breast Care Center. "With our High Risk Breast Program, a multi-disciplinary team of highly trained and specialized physicians offers women access to the latest surgical and medical treatment, including clinical trials."

Preventing breast cancer begins by assessing your risk. If you have certain risk factors, a detailed assessment and additional testing may be necessary, including genetic counseling or possibly a breast MRI.

For an appointment with a genetic counselor, call Beaumont's Cancer Genetics Program, 248-551-3388. To find out more about the Beaumont High Risk Breast Program, call for a consultation: 877-447-4751.