When Should You Get a Mammogram For Breast Examination?

A mammogram is a diagnostic imaging tool primarily used by radiologists and oncologists to assess breast health. It captures detailed images of breast tissue, which these specialists review during routine screenings or when new symptoms arise. Mammograms are essential for early breast cancer detection, often identifying abnormalities before visible signs develop, enabling timely intervention and care.

Women at the age of 40 and above are usually at high risk of developing breast cancer and should be going for screening mammograms. Therefore, it’s recommended that:

• Women aged between 40 and 44 years should be suggested for getting mammograms for breast cancer screening. 

• Women aged between 45 and 54 years should be undergoing mammograms every year. 

• Women aged above 55 years can have the option of continuing annual breast cancer screenings or shifting to every 2 years screening. 

• Old-age women should also continue with screening mammograms even if they are healthy and are expected to live a decade or more. 

• Males with a family history of breast cancer should also be getting screening mammography. 

• Anyone with inherited gene mutations affecting breast; dense breasts; or benign breast diseases like lobular neoplasia and atypical ductal hyperplasia should get an annual screening mammogram. 

In cases where abnormal breast tissues are detected in screening mammograms or there are noticeable signs of breast cancer, it is recommended to go for diagnostic mammograms. Here are the situations when one should get a diagnostic mammogram for breast examination:

• Having the signs of diseased breast such as breast lump, breast pain, breast skin indentation or thickening, and unusual nipple discharge

• Abnormalities in screening mammograms 

• Being at high risk of breast cancer like having breast cancer running in the family; previously taking chest radiation before the age of 30, and experiencing a BRCA1 or BRCA2 mutation.

Mammograms are vital in detecting breast cancer early, especially for women over 40 and those with elevated risk. Regular screenings and diagnostic mammograms contribute significantly to better treatment outcomes and proactive healthcare.

Mr Satyaki Banerjee

Guest Author Group Chief Operating Officer, Trivitron Healthcare