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What are dense breasts? How do I know if I have dense breasts? How common are dense breasts? How is breast density categorized? Some states require doctors to tell you if you have dense breasts. The idea behind these laws is to help women understand the additional measures they may need to take to help detect breast cancer. Dense breast tissue can complicate a breast cancer diagnosis.
Finding tumors among the dense breast tissue can be difficult. Additionally, women with dense breast tissue have an increased risk for breast cancer compared with women whose breast tissue is less dense. Instead of trying to alter breast tissue density, doctors and medical researchers are focused on encouraging women to find out what type of breast density they have and what to do with that information.
Women who have dense breast tissue, either heterogeneously dense or extremely dense, in addition to other risk factors for breast cancer may need additional breast cancer screening tests. A simple mammogram alone may not be enough.
Scattered fibroglandular breast tissue is common. In fact, 40 percent of women have this type of breast tissue density. Women with scattered fibroglandular breast tissue density may have areas of breast tissue that are denser and difficult to read in a mammogram. For the most part, however, radiologists will not have many issues seeing possible areas of concern in this kind of breast. However, the American Cancer Society ACS recommends that women of average risk have the option of beginning annual screening at 40 years old.
Regular screening allows doctors to see changes over time, which can help them identify any areas of concern. After the mammogram, use these questions to help spark the conversation:. The more you know about your risks, the more proactive you can be about taking care of your body. By far, the best way to approach breast cancer is to find it early and begin treatment right away. Mammograms and imaging tests can help you do that.
Read this article in Spanish. Having dense breast tissue is common and can be found via mammogram. Learn what having dense breasts means including any cancer risks.
Caffeine may affect breast tissue, although studies are limited and inconclusive. However, caffeine doesn't cause breast cancer. Learn more about…. If you've never had a mammogram, it's hard to know what to expect.
Is it painful? Will it pinch? Here's what you need to know. Either way, breast density is a conversation every patient should have with their physician - preferably in person. Hotaling] It is at least partially inherited.
If your mother has high fibroglandular tissue, it's more likely you will too. BMI - a measure of body fat based on weight and height - is also an independent risk factor for both breast density and breast cancer. Women with a low BMI are more likely to have high fibroglandular tissue. Before menopause, low BMI also increases the risk of breast cancer. After menopause, increased BMI and weight gain can potentially increase a woman's risk of breast cancer.
While there's no exact correlation between fibroglandular tissue and breast size, smaller breasts tend to be denser less fat. This is an important thing to note, as many women assume the opposite.
Take charge of your health with an online second opinion from a radiology specialist. Will a mammogram that indicates dense breasts always result in a callback? Breasts with high fibroglandular density can also lead to more mammogram callbacks than fatty breasts - which will usually be indicated as a BIRADS 0 need more images.
In my practice, we include a statement that if your breast density is heterogeneous or extremely dense, an annual supplemental ultrasound may be considered in addition to annual mammography. Hotaling] What is my lifetime risk of breast cancer? If you have dense breast tissue - does it fall in either the 'heterogeneously' or 'extremely dense' categories? If the answer is yes, you should consider getting a screening breast ultrasound in addition to mammography.
I recommend that all women consider 3D mammography. They also decrease the callback rate. You can speak with your healthcare provider to request one. Not all insurance plans cover them, but depending on a woman's risk, she may qualify to have a 3D mammogram instead of a 2D exam.
Discuss your breast density and risk factors with your doctor. This will help determine which screening tests may be right for you. Supplemental breast screening ultrasound or MRI may be indicated based on each individual's risk factors and values. How do you think it can be achieved?
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