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Mammography Matters

“When Can I Stop Having Mammograms?”

Published April 25, 2008 8:43 AM by Wanda Francisco

How many times have your older mammography patients asked you this question?

My guess is quite often!

With aging comes a huge onslaught of additional things that need to be done in a timely manner. Bone densities, colonoscopies, pap smears, lots of blood work, dental visits, eye doctor appointments, electrocardiograms... The list could go on and on of all of the methods that keep us healthy as we journey into that "Golden Age."

No wonder our patients ask us when they can stop having mammograms. I try to answer them with a little bit of humor and tell them that I would miss seeing them far too much and they really do need to come back to see me next year.

In a study published in the Journal of Clinical Oncology, researchers from the University of Texas M.D. Anderson Cancer Center suggest that mammography benefits may have no age limits.

Researchers studied older women and breast cancer and found that only 22 percent of women age 80 and over were regularly screened with mammography. "Regularly screened" was defined as having at least three mammograms in the past five years.

Twenty nine percent of women in this age bracket had only one or two mammograms during the past five years. A total of 49 percent of women in this age bracket had no mammography in the five years before their diagnosis.

The more often a woman was screened, the more likely she was to be diagnosed with an earlier stage breast cancer than those women who were not as compliant.  The researchers did say that you must also realize that women who are getting screened more frequently are possibly in better physical condition than those who are not because of other health issues.

About seventeen percent of breast cancers are diagnosed in women age 80 and above.  So armed with a little bit of data, perhaps we can persuade those women to indeed come back again next year!

3 comments

At age 31 I was diagnosed with DCIS and the same week my grandmother age 86 was diagnosed for the second time with breast ca.  My grandmother elected to not goto her mammogram the year before!  May be they could have caught it sooner when it was smaller, maybe not! Regardless, I don't believe it is ever too soon or too late to get a mammogram!  I strongly believe the age limit to start getting routine mammograms should be lowered to include at least older teenagers if not those that have started their  menstrual cycle...regardless of the density!  They found mine REALLY early.  I was lucky!Everyone should get mammograms done!

Heidi Shaffer, Nuclear Medicine - CNMT, ARMC April 30, 2008 7:34 PM
Athens GA

Thanks so much for sharing your mom's story.  Hope everything goes well for her.  You are right, the two largest risk factors for breast cancer are being a woman and aging.

Wanda Francisco April 29, 2008 9:29 PM

At age 88 my mother came in to have her mammogram and informed me this would be the last as she no longer needed them. Well, surprise, I found a tiny density on mammo, did ultra-sound, which gave it a suspicious look. We then did a needle bx which confirmed DCIS. Upon excision, it also had an invasive component.  MAMMOGRAMS ARE NEVER NO LONGER NEEDED! Risk only goes up with age although the type may be less agressive.

Holly Ware, Mammo - RT, Breast Img Cntr April 29, 2008 8:56 PM
Valencia CA

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