Breast Health: 3-Step Plan for Preventive Care
Finding breast cancer early is the main goal of routine breast care. That's why it's so important to follow this plan for preventive care. Finding problems early gives you the best chance of successful treatment. Routine care can also help find other noncancerous or benign conditions, too.
The American Cancer Society says that all women should get to know how their breasts normally look and feel. Doing this can help you notice any changes more easily. Changes to your breasts may include:
Leaky fluid (discharge) other than breastmilk
Skin irritation or dimpling
Nipple problems. This might be nipple pain, redness, or flaking. Or the nipple may turn inward.
See your healthcare provider right away if you notice any of these changes.
The U.S. Preventive Services Task Force (USPSTF) and the ACS don't recommend doing breast self-exams (BSEs). This is because they may not lower the risk of dying from breast cancer. Talk with your healthcare provider about the benefits and limits of BSEs. This can help you decide if you should start doing them.
Clinical breast exam (CBE)
Your physical exam should include a clinical breast exam (CBE) by a healthcare provider or nurse trained to check breast problems. The American College of Obstetricians and Gynecologists recommends:
Between ages 29 and 39, women should have a CBE by a healthcare provider every 1 to 3 years.
After age 40, women should have a breast exam by a healthcare provider every year.
But the USPSTF and the ACS believe there isn't enough evidence to know if CBEs are helpful for women ages 40 and older. Talk with your healthcare provider about your personal risk factors. That will help you decide if you should have a CBE.
A mammogram is a low-dose X-ray of your breasts. It's the most common imaging test. A mammogram can find cancer or other problems early, before a lump can be felt. It can also help diagnose other breast problems. But a biopsy is needed to know for sure if you have cancer.
Health experts have different advice for mammograms:
The USPSTF recommends screening every 2 years for women ages 50 to 74.
The ACS recommends yearly screening for all women ages 45 to 54. Women ages 55 and older should change to mammograms every 2 years. Or they may choose to still have a yearly screening.
Talk with your healthcare provider about your own personal risk factors. This will help you decide when to start getting mammograms and how often to have them.
You may need a diagnostic mammogram when an abnormal area is found during a screening mammogram.
Both the National Cancer Institute and the ACS suggest that women who may be at greater risk for breast cancer should talk with their healthcare providers about whether to begin having mammograms at an earlier age. Depending on the level of risk, a breast MRI may also be done along with mammograms.
Diagnosing and Treating Cancer in Women of Color
Oncologist Otis Brawley discusses the sociological and molecular reasons behind often poorer medical outcomes among women of color — one example is virulent triple negative breast cancer, which is more common among black women than other women — during a panel discussion at A Woman’s Journey — Baltimore, a daylong women’s health event in November.