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Here For The What Ifs: Common Questions About Breast Cancer Screening & Risk Factors

Ear­ly detec­tion is crit­i­cal and breast exams are your first line of defense against breast can­cer. Per­form­ing self-exams, com­plet­ing an annu­al clin­i­cal breast exam and screen­ing mam­mog­ra­phy can iden­ti­fy changes in your breasts ear­ly on when they are most treat­able. Under­stand­ing when to begin screen­ing can be tricky because the type of exam and fre­quen­cy between screen­ings varies for each per­son. Obstetrician/​Gynecologist (OB/GYN) and mem­ber of our High Risk Breast Clin­ic, Shaun­da Chin-Bonds, DO, answers com­mon ques­tions about risk fac­tors, fam­i­ly his­to­ry and when to begin screen­ing for breast cancer.

What if one of my rel­a­tives (mom, sis­ter, grand­moth­er) has been diag­nosed with breast cancer?

If you have a fam­i­ly his­to­ry of breast can­cer on (on either side of your fam­i­ly), espe­cial­ly when it is a first-degree rel­a­tive like your mom or sis­ter, you should noti­fy your pri­ma­ry care physi­cian. This infor­ma­tion helps your physi­cian devel­op a screen­ing sched­ule that is right for you. For those with a fam­i­ly his­to­ry of breast can­cer, genet­ic test­ing may be rec­om­mend­ed. Genet­ic test­ing is a more in-depth assess­ment of your over­all risk and can deter­mine whether or not you are a car­ri­er of the BRCA gene*.

*The BRCA gene has been linked to an increased risk of breast can­cer. If you test pos­i­tive for the BRCA gene, your physi­cian may refer you to a breast sur­geon for fur­ther eval­u­a­tion and to dis­cuss pre­ven­tive treat­ment options.

What if no one in my fam­i­ly has had breast can­cer? Am I still at risk?

Fam­i­ly his­to­ry is only one of the risk fac­tors asso­ci­at­ed with breast can­cer. It is pos­si­ble to devel­op breast can­cer even when no one else in your fam­i­ly has had it. Oth­er fac­tors that come into play include your diet, weight, lifestyle fac­tors such as exer­cise and alco­hol con­sump­tion and your repro­duc­tive history.

What if I want to reduce my risk? Is there any­thing I can do to pre­vent breast cancer?

While it may not be pos­si­ble to total­ly pre­vent breast can­cer, the good news is there are sev­er­al ways you can reduce your risk. Be proac­tive about your health. Dis­cuss your fam­i­ly his­to­ry with your pri­ma­ry care physi­cian and stay up-to-date on all rec­om­mend­ed screen­ings. You can also reduce your risk with lifestyle mod­i­fi­ca­tions such as fol­low­ing a healthy diet and exer­cis­ing reg­u­lar­ly. Main­tain­ing a healthy weight and avoid­ing exces­sive alco­hol con­sump­tion are two ways to sig­nif­i­cant­ly reduce your risk.

What if I have denser breast tis­sue? How does that impact my screen­ings and my over­all risk?

Denser breast tis­sue, defined as a C” or D” den­si­ty score, can increase your risk of devel­op­ing breast can­cer. It can also make detec­tion more dif­fi­cult because both dense tis­sue and tumors appear white on mam­mo­gram images. Dense breast tis­sue may also obstruct the radiologist’s view, mak­ing abnor­mal­i­ties hard­er to spot. As an added pre­cau­tion, addi­tion­al imag­ing may be rec­om­mend­ed, such as a breast ultrasound.

What if I notice changes in my breast or feel a lump?

Any time you notice changes with your breasts, you should noti­fy your pri­ma­ry care physi­cian. Your physi­cian will per­form a breast exam and order addi­tion­al test­ing if nec­es­sary. It is impor­tant to remem­ber that devel­op­ing lumps and oth­er changes with size and sen­si­tiv­i­ty don’t always mean can­cer. These symp­toms can be caused by a vari­ety of fac­tors such as your hor­mones or men­stru­al cycle. The soon­er you alert your physi­cian to any changes, the faster you can begin treat­ment if need­ed – regard­less of the cause.

What if I am ner­vous about get­ting a mam­mo­gram? Will it hurt?

Many women are ner­vous about com­plet­ing their first mam­mo­gram. As with any aspect of your care, I encour­age patients to share their con­cerns with their physi­cian and ask ques­tions to feel com­fort­able about your care plan. It can also be help­ful to speak with friends and fam­i­ly mem­bers who have had a mammogram.

The tech­ni­cian per­form­ing your exam can be a great resource, answer ques­tions and guide you through what you can expect through­out your exam. If you expe­ri­ence any pain dur­ing your exam, let your tech­ni­cian know. A mam­mo­gram can be a bit uncom­fort­able, but it is a crit­i­cal part of main­tain­ing your breast health.

What if I receive a call back after my mam­mo­gram and need addi­tion­al test­ing or a breast biopsy?

If you receive a call back after your screen­ing mam­mo­gram, don’t pan­ic. There are many rea­sons why you may be asked to come in for addi­tion­al test­ing. In some cas­es, the tech­ni­cian may not have been able to get ade­quate views or the radi­ol­o­gist may want to re-exam­ine a par­tic­u­lar area of breast tis­sue. If an abnor­mal­i­ty is iden­ti­fied, a breast biop­sy can be com­plet­ed with a breast sur­geon, or one of our radi­ol­o­gist that spe­cial­ize in breast imag­ing, to deter­mine whether a growth is can­cer­ous or benign.. I know it can be dif­fi­cult, but try not to wor­ry if you are being asked to come back for addi­tion­al testing.

What if I am diag­nosed with breast cancer?

Receiv­ing a breast can­cer diag­no­sis can be over­whelm­ing. You will like­ly expe­ri­ence a wide-range of emo­tions and have a lot of ques­tions. To pro­vide you with the care and sup­port you will need, your physi­cian will work close­ly with a breast sur­geon, med­ical and/​or a radi­a­tion oncol­o­gist to devel­op a treat­ment plan based on your over­all health and spe­cif­ic can­cer case.

While it is not uncom­mon to feel anx­ious about get­ting your first mam­mo­gram or to be over­whelmed by a breast can­cer diag­no­sis, it is impor­tant to remem­ber you aren’t alone. Talk­ing to fam­i­ly, friends and your physi­cian about your con­cerns can help you feel more pre­pared and well-informed, no mat­ter where you are in your breast health journey.

Dur­ing the month of Octo­ber, in hon­or of Nation­al Breast Can­cer Aware­ness month, we want to make screen­ing as easy as pos­si­ble. That’s why we are offer­ing free clin­i­cal breast exams with a health­care pro­fes­sion­al through­out the month at sev­er­al of our sub­ur­ban Chica­go loca­tions. For a list of avail­able dates, times and loca­tions, vis­it dupagemed​ical​group​.com/​F​R​E​ECBE/. To sched­ule your exam, call 6305457659.

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