Marie Quinn in Mammography

Should I have Breast Cancer Screening?

Breast Cancer Screening

Cancer Screening

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Breast cancer screening offers the best protection against dying from breast cancer. Routine screening with mammography — a specialized x-ray of the breast — reduces a woman’s risk of dying from breast cancer by 30 to 50 percent.

Roswell Park recommends that women:

  • Age 40 and older should have annual breast cancer screening with mammography along with clinical exams.
  • Younger than age 40 should discuss their personal risk factors, and medical and family history with their physician to determine when to begin annual mammography screening.
  • With major risk factors, including a strong family history or a known mutation in a gene associated with breast cancer, should begin yearly screening before age 40. Because breast cancer in younger women is harder to detect with mammography, women should speak with their doctor about whether other screening tests such as magnetic resonance imaging (MRI) are advised.

The Controversy — When to Start Mammography

In recent years, organizations that develop screening recommendations have disagreed on the best age to begin screening mammograms and the frequency. Screening mammography lowers the risk of dying from breast cancer and each organization agrees with that statement.

The disagreement arises from how each organization balances the risks and benefits. The risk — having a false positive — means additional mammography images or ultrasound is needed to evaluate an inconclusive screening mammogram. Less than 10 percent of women need additional imaging and only 1 to 2 percent of women need a needle biopsy. Beginning screening at an older age and having them less frequently lowers the risk of a false positive.

However, starting screening mammography at age 40 saves the most lives, and for that reason Roswell Park continues to recommend starting annual screening at age 40.

3D-Mammography (digital tomosynthesis) is the latest technology for breast cancer screening. It improves ability to detect early cancers, especially in women with dense breast tissue, and reduces the number of women who need to have additional imaging. All of Roswell Park’s mammography is done with 3D imaging.

Why Choose Roswell Park?

Follow-up Care

Each year, 1 out of every 10 women screened for breast cancer will be called back for further testing. While most of these are not cancer, this follow-up after an abnormal mammogram is essential.

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Our Breast Imaging Center is open to all women for all their breast cancer screening needs. Three reasons to have your screening at Roswell Park:

  • Our expertise with performing and reading advanced breast imaging, including 3D-mammography (digital tomosynthesis), ultrasound and MRI.
  • Convenience of express appointments that take 30 minutes or less, and free, on-site parking.
  • Comprehensive care including referral to our high-risk program, genetic screening and counseling, and other breast-related medical services.

If a problem is found, you will be in the right place with trusted providers for:

  • Minimally-invasive biopsy including core needle and fine-needle aspiration
  • Pathology analysis by pathologists who focus exclusively on breast cancer
  • Access to multidisciplinary breast oncology care team

Worried about your breast cancer risk?

Roswell Park has been helping women who are at high risk for breast cancer understand and control their risk since 1995, with the longest-running breast cancer risk assessment and prevention program in our region. When it comes to taking charge of your breast health, you need a team of specialists — from certified genetics counselors to the most experienced diagnostic experts and pathologists who are focused solely on breast cancer. That is what Roswell offers. We also offer supportive and educational resources through our Women’s Resource Center to make sure all your questions are answered. And if something suspicious is found, you are already where you need to be for personalized medicine options not available elsewhere in our region. Complete our online Risk Assessment form as a first step toward understanding your personal risk level.

Online Risk Assessment Form