Q: What is a mammogram?

• A mammogram is a low dose x-ray of the breast. It is used to find breast cancer and other breast problems. A mammogram is the most sensitive diagnostic test available for early detection of breast cancer. Mammography can detect breast cancer, sometimes years before it can be felt on a physical exam.

• Mammography involves at least two pictures of each breast, one taken from the top and one taken from the side. A qualified technologist places the breast on a plate. Uniform compression is then applied to obtain a clear and accurate x-ray of the breast tissue. Compression also helps to lower the amount of radiation necessary for the image. The compression is only applied for a few seconds. Most women classify the sensation as being “mildly uncomfortable.”

• The American Cancer Society guidelines suggest you have your first mammogram, a baseline, between ages 35 & 40. After age 40, you should have a mammogram every year. Remember, every woman is at risk for developing breast cancer, not just women with a family history of breast cancer.

• To arrange your mammography appointment, please see your physician first. His or her office staff will make the proper calls for scheduling you as soon as possible.

• Caffeine does not affect the quality of your mammogram films. For some people, products that contain caffeine may make the breasts more tender. That is the reason you may want to stop your caffeine intake for two weeks before your exam.

• You may be at a higher risk of developing breast cancer if:
  1. Your mother, sister, or daughter has had breast cancer
  2. You had your first pregnancy after age 30
  3. You have never had a full term pregnancy
  4. You began menstruating at an early age
  If you fit into any of these descriptions, talk with your physician about your risk. You may choose to begin your mammography program before age 40, just to be safe.

• Please avoid using powder, deodorant or perfume in the underarm or breast area before your exam. You may east and drink whatever you like. You may want to wear a two-piece outfit, since you will need to remove your clothing from the waist up before the exam.

• Studies show that radiation levels on today’s mammography machines are not harmful. It is more of a risk to your health not to have a mammogram.

• Plan to spend a half hour at your appointment. It may take a little longer if you are having a breast problem.

• Your mammogram films will be reviewed by a board certified radiologist from Great Plains Radiology & Nuclear Medicine, P.C. in Kearney, Nebraska. Your physician will be given a copy of your report and in turn will let you know your results. If you do not hear from your physician within a week to ten days or if you are concerned about your results please call his/her office.

• If your exam suggests that further evaluation is needed, remember most changes are not cancerous. But also remember, early detection is the key to survival. Please don’t put off your mammogram because you are apprehensive. The decision to have regular mammograms and physical breast exams by your doctor with your monthly self-exams is saving women’s lives everyday. It’s up to you… do it!