Breast Cancer Screening and Detection

When it comes to breast cancer screening and detection, not all medical institutions and advocacy groups agree on when women should start getting regular breast cancer screening mammograms.

1. The lifetime risk (to age 85) of a woman developing breast cancer in 1940 was 5% or one in 20; the risk is now 13.4% or almost one in 8.
2. It is estimated that in 2009, there will be 192,370 new cases of breast cancer and 40,170 deaths from the disease.
3. Women who undergo breast cancer screening mammograms have demonstrated significantly reduced deaths from the disease.
4. The effectiveness of any breast cancer screening program will depend on how often women are screened, compliance with screening recommendations, and the quality of the screening test.

Recommendations for Breast Cancer Screening

The following are recommendations for breast cancer screening:

• Breast examination by a health care provider every three years starting at age 20; annual clinical breast exam starting at age 40.
• Annual screening mammography starting at age 40 or 50. Breast cancer experts don't all agree. When you need a mammogram is a personal decision between you and your doctor.
• Women in high-risk categories should have screening mammograms every year and typically start at an earlier age. MRI or ultrasound screening can also be given in addition to mammograms. Discuss the best approach with your doctor.