In recognition of Breast Cancer Awareness Month, Danica Ryder, R.T.(R)(M)(CT) of Aultman Breast Care Center, addresses common myths and misconceptions about mammography. Don’t let these myths keep you from getting this important screening.

Myth: Mammograms cause breast cancer because of radiation.

Fact: Mammography uses a small amount of X-ray radiation. As with any exposure to ionizing radiation, there is a theoretical risk associated with it. However, the radiation dose used for mammography is low, and the potential risks are considered when establishing screening recommendations.

The goal is to balance that very small radiation risk against the potential benefit of detecting breast cancer at an earlier, more treatable stage.

Myth: A mammogram always finds breast cancer.

Fact: No screening test is perfect.

Mammograms can detect many breast cancers, but some cancers can be difficult to see, particularly in women with dense breast tissue. This is one reason patients receive information about their breast density and why a radiologist may recommend additional imaging based on breast density and overall risk.

Do not ignore a new breast symptom just because your most recent mammogram was normal. If you notice a new lump, nipple discharge, skin change or another concerning change, talk with your healthcare provider regardless of your mammogram result.

Myth: Mammograms spread cancer by compressing the breast.

Fact: There is no evidence that routine mammographic compression spreads breast cancer.

Compression is an important part of obtaining a quality mammogram. It helps spread out the breast tissue, reduces tissue overlap, improves image quality and allows the examination to be performed with as little radiation as reasonably necessary.

Myth: You should wait until you have symptoms before getting screened.

Fact: Screening mammography is specifically intended for women who do not have breast symptoms.

The purpose of screening is to look for breast cancer before it produces noticeable symptoms. If you do have a new lump, nipple discharge, skin changes or another concerning symptom, don't wait for your next screening appointment. Contact your healthcare provider so the appropriate diagnostic evaluation can be arranged.

Myth: Mammograms are too painful.

Fact: Mammograms can certainly be uncomfortable, and everyone's experience is different. The examination itself is usually very quick, and the compression is released as soon as the image is obtained.

Communication with your mammography technologist is important. Let them know if you are experiencing significant discomfort. Your technologist can work with you to obtain the necessary images while making the experience as comfortable as possible.

Some patients also find it more comfortable to schedule their mammogram when their breasts are less tender. If you have questions or concerns about discomfort, talk with your technologist or healthcare provider.

Myth: I have breast implants, so I cannot have a mammogram.

Fact: Your technologist is trained to handle breast implants very carefully. There are a few additional pictures that will be obtained, but you can absolutely have a mammogram.

The Bottom Line

Mammography is an important tool for detecting breast cancer early, but it is only one part of breast health.

Know your personal risk, understand your breast density, follow the screening recommendations that are appropriate for you and don't ignore a new breast change simply because your last mammogram was normal. Early detection matters!

If your provider has ordered a screening mammogram, Aultman Imaging Services provides screening mammograms at facilities across Aultman Health System. Call Centralized Scheduling at 330-363-6288 for an appointment.

Sources:
American Cancer Society
Breastcancer.org
International Atomic Energy Agency
National Breast Cancer Foundation