Mayo Clinic breast cancer mammogram video — What to expect

January 2nd, 2013 by admin

By Mayo Clinic staff

Click here to see the ‘What to expect’ video >>> Mayo Clinic Mammogram Video

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Copy of  the video text below:

A mammogram is a picture of your breast taken with a safe, low-dose X-ray machine. It’s the most effective exam for early detection of breast cancer.

There are two types of mammography exams: screening and diagnostic. A routine screening mammogram is performed when you have no symptoms. Ask your doctor when you should begin regular screening mammograms.

A diagnostic mammogram is performed if there is concern regarding your breasts or if a screening mammogram requires additional studies. You don’t need to prepare for a mammogram. You can eat normally, and if you take medications, continue to do so. However, you may be asked not to wear deodorant on the day of your mammogram because such products may show up on mammogram images. Also, if you are premenopausal, it’s best to schedule your screening exam during the week following your menstrual period, when your breasts may be less tender.

Once checked in, you’ll undress from the waist up and wear a special robe. A mammography technologist will perform your mammogram. She has specialized training in mammographic positioning and techniques.

If you are asked to complete a breast-health survey prior to your exam, your technologist can assist and review the survey with you.

Once in the exam room, you’ll be asked to stand in front of the mammography unit, a special type of X-ray machine. It can move up and down and side to side.

Your technologist will position your breast between two firm surfaces that compress your breast as flat as possible, to ensure good X-ray pictures. For example, here you can see how the machine flattens the technologist’s hand.

She may also switch paddles to get a different view.

Compression is necessary to spread the breast tissue and eliminate motion, which may blur the picture. This may be uncomfortable but shouldn’t hurt.

Compression usually lasts no more than 20 to 30 seconds. During this time, an X-ray beam comes from above and penetrates your breast tissue. The X-ray image is either created on a film cassette, located below your breast, or recorded digitally and stored in a computer. Denser tissue, such as cancer, appears bright and white, whereas less dense tissue, such as fat, appears dark or gray.

The images are then processed and made available for review and interpretation.

Here we see a baseline mammogram of a 40-year-old woman. Five years later, her formerly clear image now shows cancer.

Don’t be concerned if you are asked to remove your gown or reposition, even if it means standing on your toes. This ensures that your gown won’t interfere with the pictures and that you are standing correctly. If you are uncomfortable, please tell your technologist.

After the pictures are taken, you may be asked to wait while the X-ray images are processed.

During this time, technologists check your images to assure they are acceptable. If they aren’t clear, you may be asked to have more X-rays done. Don’t be alarmed if this happens, your technologist simply wants the best images.

A doctor trained to read X-ray images, a radiologist, will examine your mammograms. Under federal regulations, the radiologist must be experienced in reading mammograms.

If no further studies are required, you’ll be released and can resume your regular activities.

Based on what your radiologist sees on your mammogram, you may be asked to return for a diagnostic mammogram. It’s not unusual to be called back after a screening mammogram. This is because your radiologist may not have any previous comparison or may need to look more carefully at a specific area of the breast. The additional imaging is usually necessary to clarify a finding on your screening mammogram. Most findings are not cancer, but it’s important to have the additional imaging done. This may include specialized and tightly focused X-ray pictures, known as a magnification or compression view, or possibly a breast ultrasound.

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My Colon (Colorectal) Cancer Screening Day!

September 4th, 2008 by admin

My Colon (Colorectal) Cancer Screening Day!

I’m going in for a colonoscopy today. I don’t have any symptoms or problems that I am aware of.

My mother had colorectal cancer so I have to be careful, since it has already occurred in my family.

Colon and Rectal Cancer

Beginning at age 50, both men and women at average risk for developing colorectal cancer should use one of the screening tests below. The tests that are designed to find both early cancer and polyps are preferred if these tests are available to you and you are willing to have one of these more invasive tests. Talk to your doctor about which test is best for you.

Tests that find polyps and cancer

  • Flexible sigmoidoscopy every 5 years*
  • Colonoscopy every 10 years
  • Double contrast barium enema every 5 years*
  • CT colonography (virtual colonoscopy) every 5 years*

Tests that mainly find cancer

  • Fecal occult blood test (FOBT) every year*, **
  • Fecal immunochemical test (FIT) every year*, **
  • Stool DNA test (sDNA), interval uncertain*

*Colonoscopy should be done if test results are positive.

**For FOBT or FIT used as a screening test, the take-home multiple sample method should be used. A FOBT or FIT done during a digital rectal exam in the doctor’s office is not adequate for screening.

People should talk to their doctor about starting colorectal cancer screening earlier and/or being screened more often if they have any of the following colorectal cancer risk factors:

  • A personal history of colorectal cancer or adenomatous polyps
  • A personal history of chronic inflammatory bowel disease (Crohns disease or ulcerative colitis)
  • A strong family history of colorectal cancer or polyps (cancer or polyps in a first-degree relative [parent, sibling, or child] younger than 60 or in 2 or more first-degree relatives of any age)
  • A known family history of hereditary colorectal cancer syndromes such as familial adenomatous polyposis (FAP) or hereditary non-polyposis colon cancer (HNPCC)

I hope this article, and my willingness to be screened, will help you to make the possibly life saving decision to get yourself screened soon.

I have the results of my colonoscopy. I had one non-cancerous polyp removed. That polyp could have caused cancer down the road if it had been left there.

My story has a happy ending.

Now it’s your turn to be checked.

Bob Diamond R.Ph

http://www.bobthepharmacist.com


* The American Cancer Society was the source for most of the information in this article.

http://www.cancer.org/

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