Breast exams and mammograms
Lifesaving strategies get more important as you get older.
Breast cancer often makes itself known in its early stages, when there's a good chance for a cure. But here's the catch: You must be doing the right screenings to detect breast cancer. That includes monthly breast self-exams, regular clinical breast exams and regular mammograms.
Yet many women still put off these exams for any number of reasons. If you have an excuse for not being tested, read on. The following reasons to get screened should help convince you that now is the time to take action.
Your risk increases as you age. Breast Cancer Undertreated in Older Patients
According to the American Cancer Society, roughly half of patients diagnosed with breast cancer are age 61 or older. Richard Zera, MD, Oncologist and Director of Hennepin’s Comprehensive Cancer Center says, "Women over 70 have the highest incidence of breast cancer. Early detection through screening mammography offers patients the most treatment options."
But a recent study published in the American Medical Association's Archives of Surgery suggests that breast cancer diagnosis is sometimes delayed in older patients because of the underuse of mammograms. In addition, aggressive therapy (such as chemotherapy, radiation and hormonal therapy) is not used as often as for younger patients. The researchers suggest that screenings and treatments should be based on each individual's health conditions, rather than age.
Why don’t older women get screening mammograms?
Jane Van Deusen-Morrison, the Breast Cancer Navigator at the Comprehensive Cancer Center says. "As to why women over age 60 do not get mammograms as often – it is the same for most screenings – fear, cost, time, transportation, denial: 'I am not having any problems,' 'never had a lump,' 'no one in my family has ever had cancer, breast cancer'."
The little inconvenience and discomfort of getting a mammogram is far outweighed by its big benefits. Regular breast screening exams are the number-one way to reduce your risk of dying from breast cancer. A mammogram takes about 20 minutes (the actual breast compression lasts for only a few seconds) and can bring great peace of mind. Only one or two mammograms in 1,000 lead to a diagnosis of cancer, according to the ACS. And even if a malignant lump is detected, if it's caught early and confined to the breast, the survival rate is more than 95 percent. The whole point of getting regular screening tests is to find the disease at its earliest, most treatable stage.
Screening mammography is available at most of the clinics throughout the Hennepin Health System. First, contact your doctor for a referral and then schedule by calling Radiology at 612-873-4213.
Screening mammograms are usually covered by your insurance provider.
There are also programs in Minnesota, such as the Sage program at the Minnesota Department of Health that will cover mammograms and other preventive services.
- HCMC Downtown Medicine Clinic, HCMC OB/GYN, HCMC Cancer Center
- Brooklyn Center
- East Lake
Please call 612-873-2576 (English) or 612-873-3814 (Spanish) to schedule an appointment at the HCMC clinics with a nurse practitioner whose time is solely dedicated to Sage CBE, Pap/Pelvics and mammograms.