Share

Reasons to go for a mammogram

Most women cringe at the thought of having their breasts squashed between two plates, and for that very same reason they avoid having regular mammograms done.

But consider the consequences of shunning this necessary evil: when detected in the early stages of development, a cancerous lump in the breast can be removed with minor surgery (lumpectomy). However, given the chance to develop, the cancerous lump will grow and spread, possibly leading to the removal of the breast (mastectomy) and aggressive further therapy such as chemotherapy, anti-oestrogen therapy and even death.

Now the thought of having your breast compressed for a couple of seconds once a year doesn’t seem so bad after all, right?

Mammogram pain overrated
Mammograms have a bad reputation for being painful and are high on the list of dreaded doctor’s visits for women.

However, a study found that mammogram pain is overrated. “Pain is listed as one of the main barriers to women getting mammograms,” says researcher Penny Sharp from the Wake Forest University School of Medicine. They interviewed 200 women immediately after they had mammograms, who compared the pain to a mild headache or wearing shoes that are a little too tight.

In fact, 94% of the women said they would get another mammogram the following year.

Mammograms shouldn’t be painful
“Mammograms do cause discomfort, but it shouldn’t be painful,” says Prof Justus Apffelstaedt from the University of Stellenbosch and head of a multidisciplinary breast-health centre. He emphasises that a mammogram should be done at the right time (within a week after menstruation) by a radiographer specially trained and additionally certified in mammography, also called a mammographer.

“A woman going for a screening mammography doesn't know whether she'll walk out with a cancer diagnosis, and therefore is very tense. An experienced mammographer understands this psychological process and knows how to put the women at ease,” says Apffelstaedt. “When the patient is relaxed, the pectoral muscles behind the breast will relax, which should result in a painless mammogram.”

Tenderness or pain in the breast is rarely associated with breast cancer and women should avoid having a mammogram done if their breasts are particularly tender. “The reason for the pain should be addressed first. Once this has cleared up, the patient can have a mammogram,” says Apffelstaedt.

Who should have a mammogram?
According to the Cancer Association of South Africa (CANSA), all women are at risk of getting breast cancer and 1 in every 26 South African women will be diagnosed with it in their lifetime.

However, some women are more prone to the disease than others:

  • Women who are 40 years or older.
  • Women who have a mother or sister who has been diagnosed with breast cancer.
  • Women who started their period at a young age.
  • Women who went through menopause at a late stage.
  • Women who had children after the age of 30, or not at all.
  • Women who drink more than two glasses of alcohol a day.

It's recommended that all women over the age of 40 undergo annual mammograms, and women of all ages should self-examine their breast at least once a month for lumps or other changes in the breast. Regardless of one’s age, irregularities should immediately be examined by a trained health professional.

Early detection crucial
There's still no convenient way to prevent breast cancer. Early detection by mammography, before the cancer can be felt by the woman or the doctor, in the majority of cases allows for less drastic treatment. It often saves your breast and your life.

Even if your breast self-examination is normal, it's still necessary to have mammograms. “We can detect abnormalities before they become evident in a self-examination,” Apffelstaedt notes.

In fact, once a cancerous lump has grown large enough to detect during a self-examination, it's already in an advanced stage of development.

Annual mammograms are therefore essential as they can pick up abnormalities in the breast long before any obvious physical signs develop.

- (Wilma Stassen, Health24)

Sources: CANSA; HealthScout News; National Cancer Registry


We live in a world where facts and fiction get blurred
Who we choose to trust can have a profound impact on our lives. Join thousands of devoted South Africans who look to News24 to bring them news they can trust every day. As we celebrate 25 years, become a News24 subscriber as we strive to keep you informed, inspired and empowered.
Join News24 today
heading
description
username
Show Comments ()
Editorial feedback and complaints

Contact the public editor with feedback for our journalists, complaints, queries or suggestions about articles on News24.

LEARN MORE