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Let’s talk about the W’s (who,
what, when and why) of breast
Here What is breast cancer
screening?
cancer screening
Breast cancer screening refers to
checking the breast tissue for signs
or symptoms of cancer. Breast cancer
screening cannot prevent breast cancer
from developing, but it can help with
the detection of changes early on. Initial
screening can begin with a breast
exam you can do on yourself or a clinical
breast exam done by your provider.
Breast self-examination can begin
at any age. It is important to develop
a routine of when you examine your
breast; this allows you to get to know
the normal feel of your breast and detect
changes early. This breast exam
can detect changes in the tissue and
prompt further evaluation. Your provider
can perform your breast exam
during your annual exam or more often
if there’s a concern or abnormality.
Your provider will commonly order a
breast x-ray, commonly known as a
mammogram, and sometimes include
a breast ultra sound as part of the
routine screening evaluation.
Who should get breast
cancer screening?
Breast cancer screening
usually refers to women,
but it can refer to men
as well, because men
can develop breast
cancer. All women
ages 50 to 74, who are
at average risk should get a mammogram
to screen them for breast cancer
every two years. This is based on
the recommendations from the United
States Preventive Services Task Force
(USPSTF). Women between the ages of
40 to 49 and 75 or greater should speak
to their provider on whether a mammogram
is recommended based on
their risk factors for breast cancer.
Why should you get breast
cancer screening?
Breast cancer is the most common
cancer among women in the US. In
2018, there were 254,744 new breast cancer
cases diagnosed among women, or
127 new breast cancer cases for every
100,000 women. Breast cancer screening
can help with early detection of
changes in the breast tissue. Breast
cancer screening can help detect breast
cancer at an early stage, improving the
chances of treatment and cure.
When should you get breast
cancer screening?
If you fi nd any changes in your
breast, speak to your provider immediately.
Any person with a family history
Michelle Soto, MD, Interim Chief of Ambulatory
Care, Director Primary Care at Coney
Island Hospital. Coney Island Hospital
of breast cancer should speak to their
provider to determine when it’s the
best time to start breast cancer screening.
Women between the ages
of 40 to 49 should have a discussion
with their provider
on the benefi ts and risks
of starting breast cancer
screening at this age. This allows
you to make an informed
and shared decision with your
provider.
Women ages 50 to 74, who
are at average risk should get
a mammogram to screen them
for breast cancer every two
years, more frequently if there
is higher risk or an abnormality was
detected. Women who are 75 and above
should have a discussion with their provider
on the benefi ts and risks of starting
breast cancer screening at this age.
What is an advancement in
technology that enables doctors
to detect breast cancer earlier
than in years past?
The development of digital mammography
has improved the detection
of early breast changes, has allowed
for images to be viewed remotely and
has made it possible for doctors to discuss
these images while working in
different locations.
To schedule a mammogram at NYC
Health + Hospitals/Coney Island call
1.844.872.6639, 24 hours, 7 days per week.
Sources: What Is Breast Cancer Screening?
(CDC), Breast Cancer Statistics (CDC), USCS
Data Visualizations (CDC), Venkataraman, S.,
Slanetz, P. & Lee, C. (2021). Breast imaging for
cancer screening: Mammography and ultrasonography.
UpToDate.
Health
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