Mammography

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Abnormal discharge from the nipple	Breast lumps	Causes of breast lumps	Female breast
Fibrocystic breast disease	Mammary gland	Mammogram

A mammogram is an x-ray picture of the breasts. It is used to find tumors and to help tell the difference between noncancerous (benign) and cancerous (malignant) disease.

Mammogram

You will be asked to undress from the waist up and will be given a gown to wear. Depending on the type of equipment used, you will sit or stand.

One breast at a time is rested on a flat surface that contains the x-ray plate. A device called a compressor will be pressed firmly against the breast to help flatten out the breast tissue.

The x-ray pictures are taken from several angles. You may be asked to hold your breath as each picture is taken.

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Sometimes you will be asked to come back at a later date for more mammogram images. This does not always mean you have breast cancer. Rather, the doctor may simply need to recheck an area that could not be clearly seen on the first test.

Digital mammography is a newer technique that allows the x-ray image of the breast to be viewed and manipulated on a computer screen. It improves accuracy, but is not yet available everywhere.

Do not wear deodorant, perfume, powders, or ointments under your arms or on your breasts on the day of the mammogram. These substances may hide the images. Remove all jewelry from your neck and chest area.

Tell your health care provider and the radiologist if you are pregnant or breastfeeding.

The metal may feel cold. When the breast is pressed down, you may have some pain. However, this needs to be done to get good images.

Mammography is performed to:

• Screen healthy women for signs of breast cancer
• Further evaluate an abnormal finding on a mammogram
• Monitor and follow a woman who has had an abnormal mammogram
• Evaluate a woman who has symptoms of a breast disease, such as a lump, nipple discharge, breast pain, dimpling of the skin on the breast, or retraction of the nipple.

Screening mammograms are improving the detection of early breast cancer, when it is more likely to be curable.

• Some, but not all medical organizations recommend that women begin breast cancer screening at age 40 and have repeat mammograms every 1 to 2 years.
• All medical organizations recommend that women over age 50 have a screening mammogram every 1 to 2 years.
• Women with a mother or sister who had breast cancer should consider yearly mammograms earlier than the age at which their youngest family member was diagnosed.

Review Date: 12/28/2010
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Yi-Bin Chen, MD, Leukemia/Bone Marrow Transplant Program, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org).