What You Should Know About Mammograms

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Mammograms stand as a critical tool in the early detection and management of breast cancer. Using low-dose X-rays, these tests create an image of the internal breast structure. This allows doctors to pinpoint abnormalities and potential tumours before they can be felt. This method is especially vital in identifying breast cancer at an early stage when it is most responsive to treatment.

Generally, women with an average risk of breast cancer are recommended to begin annual mammogram screenings at age 40.

Medically reviewed by
Dr Chong Chee Keong
Breast Cancer Surgeon

What Are the Types of Mammograms?

There are two primary types of mammograms: screening and diagnostic.

  • Screening Mammogram - This is a routine examination of women with no symptoms of breast cancer. It typically involves two X-ray images of the breast from different angles. These images help detect abnormalities like hidden tumours or tiny calcium deposits (microcalcifications) that may indicate early breast cancer.
  • Diagnostic Mammogram - This is performed after a lump is felt, a screening mammogram shows something suspicious, or there are other breast changes. It takes multiple X-ray images from different angles to get a more detailed view of the area of concern. This helps doctors diagnose breast problems and determine the best course of treatment.

What Are the Benefits of Mammogram Screening?

Breast screenings play a pivotal role in breast health, offering early detection of cancer, which is crucial for effective treatment.

  • Early Detection of Breast Cancer: Mammograms can detect breast cancer early, often before symptoms develop, improving treatment outcomes and survival rates.
  • Lower Breast Cancer Mortality: Regular screenings have significantly reduced breast cancer mortality by enabling early, more effective treatment.
  • Identification of Benign Conditions: Mammograms also help identify benign conditions, preventing unnecessary procedures and providing peace of mind.
  • More Treatment Options: When breast cancer is caught early, there are more treatment options available, and they may be less invasive (like breast lump removal with radiation instead of mastectomy).

How to Prepare for a Mammogram

Preparing for a mammogram ensures the process is as smooth and effective as possible, providing accurate and crucial health insights.

  • Discuss Changes: Before your mammogram, communicate any recent changes or concerns about your breasts to your doctor. This includes new lumps, pain, or changes in appearance. Sharing this information helps your doctor pay extra attention to potential areas of concern during the examination.
  • Timing Your Appointment: Schedule your mammogram when your breasts are least likely to be tender, usually a week after your menstrual cycle. Breast tenderness can not only affect your comfort during the test but can also impact the clarity of the images taken.
  • Previous Mammogram Comparisons: If you have had mammograms done at different facilities, try to obtain those records and bring them with you. Comparing your current mammogram with previous ones helps your doctor detect any changes or developments more accurately.
  • Avoid Certain Products: Before your mammogram, avoid using deodorants, antiperspirants, powders, lotions, or perfumes under your arms or near your breasts. These products can potentially complicate the interpretation of the X-ray images.

How Is a Mammogram Conducted?

The process of a mammogram typically takes about 20 minutes and involves the following steps:

  • Before the Procedure
    Before a mammogram, you will be asked to undress from the waist up and wear the gown provided. It is recommended to wear a two-piece outfit for convenience. You must also remove any jewellery that might interfere with the X-ray images. At this stage, you should inform the radiology technician of any breast symptoms or problems, as well as if you are pregnant or possibly pregnant.
  • During the Procedure
    A radiology technician will position your breast on the machine's plate during the mammogram. Another plate from above will press down on your breast to flatten it. This compression is necessary to spread the breast tissue for clear X-ray images. Although some discomfort or pain is expected, it lasts a short duration – usually a few seconds. The process is repeated to get views from different angles, typically two per breast.
  • After the Procedure
    After the mammogram, you can dress and go about your day normally. The images are then reviewed by your doctor. You might be called back for additional imaging if there are any concerns or unclear areas. Otherwise, results are usually sent to your doctor within a few weeks, who will discuss the findings with you.

Key Takeaways

Mammograms play a crucial role in early breast cancer detection and monitoring of breast health. Understanding what to expect before, during, and after the procedure can make the experience less daunting and more productive. Remember, early detection can significantly impact outcomes, so it is important to stay consistent with your screenings according to your healthcare provider’s recommendations.

Take control of your breast health today. Schedule your breast exam in Singapore with Maven Surgery, where care meets technology for your peace of mind. Contact them at 6355 5285 today to book your breast screening and take a step towards proactive health management.

Frequently Asked Questions (FAQs)

Do mammograms hurt?

Do I need a mammogram if I don't have a family history of breast cancer?

Can I get a mammogram if I am pregnant?

Can I get a mammogram if I have breast implants?

How can I get a mammogram if I have a physical disability?

Doctor Profile

Dr Chong Chee Keong Dr Chong Chee Keong
Medical Director & Breast Cancer Surgeon MBBS (Singapore), FRCSEd, FRCS (Glas)

With over two decades of experience, Dr Chong Chee Keong is a trusted figure in cancer care, specialising in breast cancer and benign breast conditions. Accredited as a Fellow by the Royal Colleges of Surgery in Edinburgh and Glasgow, Dr Chong emphasises comprehensive care, addressing both the surgical and emotional needs of his patients. He advocates for a multidisciplinary approach, collaborating closely with surgical oncologists and radiation therapists. Proficient in minimally invasive surgery and other specialised techniques, he ensures the best possible outcomes for his patients.

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