Guidelines for Breast Cancer Screenings at UPMC in Central Pa.

Recent research findings and changes in breast cancer screening guidelines have left many women wondering when they should receive a mammogram. Some women wonder if they need a mammogram at all.

Specialists at PinnacleHealth Breast Care Center are committed to following current screening recommendations from the American Cancer Society which state that:

Women ages 40 – 44 should have the choice to start screening mammograms after discussing the risks and benefits with their provider
Women ages 45 – 54 should get a mammogram every year
Women ages 55 and older should get a mammogram every two years. They should also have the choice to continue getting them every year.
Screening continues as long as the woman is in good health and expected to live 10 years or more

The American Cancer Society also recommends yearly mammograms and breast MRI for women who:

Carry a known BRCA1 or BRCA2 mutation
Have a very strong family history of breast or ovarian cancer
Have had prior radiation treatment to the chest (such as for Hodgkin's Lymphoma)

Other women who may be advised to receive breast MRI's are those who have:

Already had breast cancer
Known lobular carcinoma in-situ
Dense breasts which can be difficult to visualize using mammogram

Our Breast Care Center team will work with you to help you determine your risk profile and your best screening options.

For more information or to schedule a mammogram, call 717-230-3700.

Request your mammogram online today.

Dense Breasts Q and A

Get the Facts about Dense Breasts

Many women have heard the term "dense breasts" but few understand what this means. Nor do they understand how it increases the chance of a missed breast cancer diagnosis. Specialists at UPMC Pinnacle Breast Care Center offer the following information to help you understand this term and what it means for you.

What does it mean to have dense breasts?

Breasts are made up of glandular tissue (ducts and lobules), fatty tissue and fibrous (dense) tissue. When you have dense breasts it means that you have more fibrous tissue than fatty tissue in your breast. The amount of fibrous tissue may decrease and the amount of fatty tissue may increase as you age. Breast density may remain the same for some women.

Having dense breasts can be a very common and normal finding. Having very dense breasts may make it difficult to read a standard mammogram. This has been associated with an increased risk for breast cancer.

Is density related to bra size or BMI?

Breast density is not directly related to breast size or body mass index. There are some studies that suggest that weight and breast density are two independent risk factors for breast cancer.

How is breast density measured?

Breast density is measured by mammogram findings. Radiologists will compare the amount of fatty tissue to the amount of dense breast tissue and will place you in one of four categories. These range from mostly fatty tissue to extremely dense breast tissue. A woman whose breasts are classified as heterogeneously dense or extremely dense is considered to have dense breasts.

What do you do if you have dense breasts?

Talk to your doctor if your mammogram report says you have dense breasts. Your doctor can help you understand your risk factors for breast cancer. Your doctor can also help you decide which screening test is right for you. Digital tomosynthesis may be able provide better pictures of your breast because it views the breast from more dimensions. This test is also called 3D mammogram. You may also qualify for breast MRIs. Be sure to talk with your doctor about your risk factors and how you can lower your risk for breast cancer.

What is the correlation between density and cancer?

Having dense breasts is associated with an increased risk of breast cancer. We aren't sure why though.

Can you alter your breast density through diet and exercise?

Diet and exercise do not alter breast density. They have been shown to decrease the risk of breast cancer.

What other steps can women take to avoid cancer?

There are many ways to lower your risk of breast cancer. These include:

Maintain a healthy weight. A body mass index of 20 – 25 is recommended.
Adopt a physically active lifestyle
Eat a healthy, balanced diet
Limit alcohol intake to no more than 1 drink a day (2 drinks/day for men)
If you have a strong family history of breast cancer or have had breast biopsies with cancerous findings you may be able to take medication to reduce your risk. Speak with your doctor regarding the risks and benefits of these medications.

Why is UPMC Pinnacle a good place to get screened and treated?

UPMC Pinnacle Breast Care Center offers comprehensive breast and breast cancer care. This includes risk assessment and screenings for breast cancer, breast cancer treatment and then survivorship services. All of this is provided in an attentive and compassionate environment.

Our team includes breast surgeons, medical oncologists, nurse practitioners and a genetic counselor. These specialists work together to deliver the best and highest quality of care. We also have a wonderful team of nurse navigators who work closely with patients to help guide their care during their treatment journey.

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Phone: 717-230-3700

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