Should women under age 40 get
mammograms?
In general, regular mammograms are not
recommended for women under 40 years old, in part, because breast
tissue tends to be more dense in young women, making mammograms
less effective as a screening tool. In addition, most experts
believe the low risk of developing breast cancer at a young age
does not justify the low level radiation exposure or the cost of
mammography. However, screening mammograms may be recommended for
younger women with a family history of breast cancer and other risk
factors.
What's the best way for younger women to
screen for breast cancer?
The American Cancer Society
(ACS) recommends that all women 20 years of age or older should
perform monthly breast self-examinations (BSE). The best time to
perform BSE is the day after your monthly period ends. Becoming
familiar with the look and feel of their breasts offers the best
chance for a young woman to notice any change. In addition to
monthly BSE, annual clinical breast exams are recommended for all
women beginning at age 20. Annual screening mammograms also are
recommended at age 40. Women younger than 40 who have a family
history or other risk factors for breast cancer should discuss
their risk and an appropriate screening schedule with their health
care providers.
How is breast cancer treated in younger
women?
The course of treatment for breast cancer at any
age is based on the extent of the person's disease (within
the breast and beyond the breast), as well as the woman's
general health and personal circumstances. Treatment options
include a lumpectomy, which involves removing the lump and some
surrounding tissue, or a mastectomy, which is the removal of a
breast. Radiation therapy is generally used following a lumpectomy,
and chemotherapy and/or hormone therapy often are recommended after
surgery to help destroy any remaining cancer cells and prevent
recurrence.