
Screening
Guidelines
ACS Recommends:
- Yearly mammograms are recommended starting at age 40. The
age at which screening should be stopped should be individualized by
considering the potential risks and benefits of screening in the
context of overall health status and longevity.
- Clinical breast exam should be part of a periodic health
exam, about every three years for women in their 20's and 30's, and
every year for 40 and older.
Breast Cancer
Facts & Figures 2007
Signs and Symptoms
- The earliest sign of breast cancer is usually an
abnormality detected on a mammogram before women or her health care
providers can feel it.
- When breast cancer has grown to the point where physical
signs and symptoms exist, these may include:
- A breast lump
- Thickening and swelling
- Distortion or tenderness
- Skin irritation or dimpling
- Nipple pain, scaliness, ulceration, retraction or
spontaneous discharge.
Early Detection
- Mammography is especially valuable as an early detection
tool because it can identify breast cancer at an early stage, usually
before physical symptoms develop.
- Numerous studies have shown that early detection saves
lives and increases treatment options
- The recent declines in breast cancer mortality have been
attributed to the regular use of screening mammography and to
improvements in treatments.
- However, mammography also has limitations: it will miss
some cancers, and it sometimes leads to unnecessary additional testing
in women who do not have breast cancer. All suspicious lumps should be
biopsied for a definitive diagnosis.
Women should know how their
breasts normally feel and report any breast change promptly to their
health care providers. Breast self-exam is an option for women starting
in their 20's.
Women at increased risk (e.g.
family history, genetic tendency, past breast cancer) should talk with
their doctors about the benefits and limitations of starting
mammography screening earlier, having additional tests (i.e., breast
ultrasound and MRI), or having more frequent exams.
1.800.ACS.2345
www.cancer.org