When I was 32, my provider demanded I get a baseline mammogram due to my Mom’s history. The girl that did the test at the hospital, Linda, (I don't fondly remember her name) pressed the plates together against my breast so hard that there was an audible “pop” followed by a dark green discharge that came out of the nipple. I was also bruised all around the breast. That experience pretty much created a deep fear in me to ever get another mammogram. I avoided it for years after the recommended age for screening had passed.
Finally, (I don’t remember my age), I came to my senses and scheduled another mammogram. This time there was a dedicated breast center and the experience was much more tolerable. I am a terrible patient, so I let the yearly screening come and go and was not good at being diligent with that. Besides, my mammograms were usually normal. A couple of times, there were some “calcifications” that looked suspicious so they would call me back in for a diagnostic mammogram to look further.
In 2015, I was supposed to get my screening mammogram done in January. I already mentioned I am a terrible patient and before I realized it the year was almost gone. I scheduled my test on my birthday in November. I figured that would be an easy way to remember to get this done every year. I got a call the next day that I had a suspicious lesion that was likely cancer. WHAT????? Yep, ER/PR+ HER2- 1 cm DCIS tumor. I had a breast MRI to make sure there were no abnormal findings anywhere else in the surrounding musculature or bones. It was all normal. I had a lumpectomy and they removed 4 lymph nodes. Once the surgical site healed, I had 33 radiation treatments. It was a scary process but I am, at the time of this writing, cancer free.
I had decided this last year I would look into thermography to see if there were any inflammatory changes going on. They did a baseline test and 3 months later repeated that and everything was normal.
Mammography is standard of care. It is a form of xray that examines breast tissue and identifies abnormalities that could be cancer. It can also detect possible abnormalities that need further imaging as in the case of calcifications. This can cause anxiety and is more costly. Mammograms are recommended starting at age 50. The starting age used to be 40 but the guidelines have changed unless you have a first degree relative with a history of breast cancer. The guidelines also state the screening can be done every 2 years. This is a discussion you should have with your provider.
Drawbacks of mammogram are xray exposure and deep compression of breast tissue and false findings resulting in more imaging.
Thermography is another screening tool but is not considered standard of care. It is a form of infrared technology that detects and records temperature changes on the surface of the skin. It is thought that if there are cancer cells then those cells create inflammation which will show up on the imaging as elevated skin temperature. There are some benefits to consider - see the above chart
Thermography is not recommended as a substitute for mammography or breast MRI
Moving forward, I will continue to get mammograms and may continue to alternate that screening with thermography. This last year I did only thermography. This year I will do another mammogram (ugh!!)
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