Breast Cancer Screening Recommendations
March 2010
Salem Hospital Physicians and the Salem Hospital Breast Committee disagree with the newly publicized US Preventative Services Task Force (USPSTF) recommendations for breast cancer screening.
We recommend routine annual mammography screening for all women beginning at age 40. We support educating women on the signs and symptoms which may indicate breast disease so they can bring these to the attention of their medical provider.
While it is understood that breast cancer is less common in women under the age of 50, and that there can be a larger number of false alarms due to the limitations of mammography in this age group, we feel that the effort and expense of screening younger women are worthwhile for the years of life saved.
Q: I’m 80 years old and have had normal mammograms every year. Do I still need to continue with yearly mammograms?
A: For women over age 75, there is simply a lack of reliable data from large population based studies to either support or deny the value of routine mammographic screening.
However, there is a wealth of data indicating that breast cancer risk rises steeply with age, and that the efficiency of screening increases as well. Therefore, routine screening in this age group is expected to be highly valuable. We encourage you to talk with your provider to determine what is best for you based on overall health and expected longevity.
Q: I worry about breast cancer and feel like I am always finding something in my breast that I’d like to ask my doctor about. I realize I can’t see my doctor every month for reassurance. How can I decrease my anxiety and become more confident in what I am feeling in my breasts?
A: It is helpful to become familiar with the normal look and feel of your breast. We encourage you to become educated on normal breast anatomy and changes that can be followed safely.
Breast self exam may be useful for higher risk women and those who are motivated to be proactive in their health. By examining your breasts with a thorough technique regularly you are more self confident and have less anxiety about bringing a concern to your doctor.
Q: Will my insurance cover the cost of a yearly mammogram for me?
A: You will need to check with your insurance company; however, at this point, we are not aware of any company changing their policy on screening mammogram coverage.
Q: Should I still see my provider each year for a clinical breast exam? If so, should it be done prior to my mammogram or after?
A: We recommend an annual clinical breast exam be performed by your health care provider prior to the mammogram. If your provider finds something abnormal it can be documented and compared with the mammogram findings.
This is also an excellent opportunity for you to gain knowledge about normal breast findings and self-examination techniques, and ask any questions you might have about breast health.