Breast Health: A Three-Step Plan for Preventive Care
9/25/2020
Michelle Bertsch, M.D., FACS
Breast Surgeon
October is National Breast Cancer Awareness Month. This article is written to help women understand more about this disease.
The thought of having breast cancer can be frightening, which makes it tempting to avoid this sensitive subject. But being proactive is a woman’s best bet in the fight against breast cancer.
Routine preventive care is the best way to keep you and your breasts healthy, since the detection of breast cancer at its earliest stages provides the greatest opportunity for successful treatment.
The Three-step Plan
Step 1: Breast Self-examination (BSE)
All women, ages 20 and older, should perform breast self-exams to familiarize themselves with their breasts so any changes are more quickly identified. Changes may include development of a lump, swelling of the breast, skin irritation or dimpling, nipple discharge other than breast milk or other nipple abnormalities (pain, redness, or turning inward).
If any of these changes are noticed, see your health care provider as soon as possible for evaluation.
Step 2: Clinical examination
A breast examination by a doctor, physician assistant or nurse trained to evaluate breast problems should be part of a woman’s physical examination. A clinical breast examination is very similar to the procedure for breast self-examination. Women who perform BSE regularly will be prepared to ask questions and have any concerns addressed during a clinical exam. The American Cancer Society (ACS) recommends:
- Between ages 20 and 39: a clinical breast examination by a health professional every 3 years.
- After age 40: a clinical breast examination by a health professional every year.
Step 3: Mammography
Mammography is a low-dose x-ray of the breasts and is the most common imaging technique. Mammography can detect cancer before a lump becomes large enough to be felt.
The American Cancer Society recommends yearly screening mammograms for all women ages 40 and older. Women who may be at increased risk for breast cancer should talk with their health care provider about having their mammograms at an earlier age or more frequently.
The Lake Norman Imaging Center, the mammography department at Lake Norman Regional Medical Center, offers digital mammography, technology that allows images to be magnified and adjusted on a computer screen for better visualization. Additionally, 3D mammography, or tomosynthesis, is now available at the imaging center. The improvement in 3D visualization increases invasive cancer detection rates and helps reduce callback rates, thus reducing patient anxiety when called to return for additional imaging.
The Lake Norman Imaging Center is accredited by the American College of Radiology (ACR) as a Breast Imaging Center of Excellence. The Center is also ACR Accredited in Breast Ultrasound, Breast Magnetic Resonance Imaging, Stereotactic Breast Biopsy, and Mammography.
To schedule a mammogram at the Lake Norman Imaging Center, call (704) 660-4920.
About the Author: Michelle Bertsch, M.D., FACS, breast surgeon, is a member of The American Society of Breast Surgeons, serves as cancer liaison to the American College of Surgeons, is a member of the Cancer Committee and is an active participant in Lake Norman Regional Medical Center’s Multidisciplinary Tumor Board.
Disclaimer: Remember that this information is not intended to replace the advice of your doctor, but rather to increase awareness and help equip patients with information and facilitate conversations with your physician that will benefit your health.
Back