Every five years, the experts at the American Cancer Society (ACS) take a long, hard look at their cancer screening guidelines. The ACS examines all the latest research, treatment options, and technological developments that have come on the scene over the past five years. Then it decides if the guidelines in place need updating.
This past year, it was breast cancer screening's turn for re-evaluation. And what the ACS has decided may surprise you. In fact, all women would be wise to discuss what these new guidelines mean with their personal physicians.
What's New for You?
The new ACS guidelines put added emphasis on the power of mammography. Recent research has shown that this proven technology clearly reduces breast cancer deaths by significant numbers. So the ACS is now telling women they can feel more confident that mammography helps.
The guidelines still call for a baseline mammogram between the ages of 20 and 39. Yearly mammograms beginning at age 40 are still recommended for most women. However, the ACS has made some changes in recommendations for those at higher risk for breast cancer, including seniors.
The ACS is now stressing that high-risk individuals ask their doctors about other screening options, such as MRI, and more frequent testing. Since many seniors fall off the mammogram bandwagon, the ACS is pushing the fact that all women age 65 and older should continue to undergo annual mammography as long as they are relatively healthy. By that they mean women who are not suffering from any disease that may cut life short in the near future. Those women should ask their doctors about sensible screening practices.
To BSE or Not to BSE?
In another big change, the ACS has put breast self-examination (BSE) in the "optional" category. Unlike mammography, BSE has not been proven to effectively cut the death rate from breast cancer. So, rather than "schedule" a monthly self-exam, the ACS suggests you simply observe and monitor your breast health in whatever way is most comfortable for you. Report any changes to your doctor.
Clinical exams by a physician are still recommended yearly for women age 40 and older. That hasn't changed. What has changed is the new call to discuss other screening methods if you have a family history of the disease, if you smoke, or if you are in another high-risk group.
For a Better Mammogram
A mammogram is very effective at finding growths in the breast. But as with all technology, it needs to be done properly. The American Cancer Society (ACS) offers these tips to get the best results with your mammogram.
1. Don't have a mammogram before or during your period. You'll feel more discomfort at this time. Schedule your appointment for the week following your period, when breasts are less sensitive. This will allow better compression of the breast tissue and a more accurate image.
2. Be consistent with providers. Going to the same mammography provider each year is a good way to ensure your mammograms are already on file. If you've had mammograms with another provider before, bring your films with you.
3. Do not use deodorant, powder, or lotion under your arms or on your breasts. These can look like cancer spots on the X-ray.
4. Wear a two-piece outfit. Don't wear jewelry.
5. Tell the provider about any symptoms or problems you may be having with your breasts. Also mention any related medical history.
The information provided is intended to help you make informed decisions. The Genworth Financial companies do not provide medical information, advice or recommendations. Consult your physician before making major changes in your lifestyle or health care regimen. Please note that Wellness partners, their products, services, and offers may change over time.