| Community Health Echo Mammograms 101 Judith Newberger, C.N.M. A mammogram is an x-ray examination of the breast used to detect and diagnose breast disease in women who have symptoms - a lump, pain, nipple discharge - as well as asymptomatic women. The breast is squeezed between two plates to spread the tissue, this may cause mild temporary discomfort. An image of the breast tissue is taken and then given to a radiologist. The radiologist looks for abnormal areas, such as calcifications or masses in the breast tissue. Macrocalcifications are large coarse calcium deposits usually attributed to changes in the breast caused by aging. Microcalcifications are tiny specs of cancer in the breast tissue, and dependent upon the shape and layout of the microcalcifications, this may mean that cancer is present. A mass can occur in the breast tissue without calcification, and could mean the presence of a cyst. If an abnormal area is found in a mammogram, further testing is required to make a diagnosis. When choosing a facility for a mammogram, request to see the FDA certificate issued to all facilities that meet safety and quality standards, and use a facility that specializes in mammograms. It is best to continue to use the same facility so that mammograms can be compared from year to year, but if you change facilities, bring a list of past mammograms, biopsies, or other breast treatments.
On the day of the mammogram, do not wear deodorant, and avoid scheduling a mammogram the week before your period when breasts are tender.
Women over the age of 40 should have a mammogram and breast examination every year. Women between the ages of 20 and 39 should have a breast examination every 3 years and perform a breast self-examination every month. This is important for early detection of breast cancer, which increases chances of survival.
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