Breast screening
Breast screening has been developed to detect breast cancer at a very early stage. Women aged 50 and over are invited for breast screening every three years. You will receive an automatic invitation to a screening within three years of your 50th birthday provided you are registered with a G.P. You will then be invited every three years until your 65th birthday. By the end of 2004, women will be invited for screening up until the age of 70.
Where does it take place?
Screening generally takes place in a mobile unit located in your area. If you have been invited for a screening it is important to attend when the unit is in your area as this will save unnecessary traveling if another appointment has to be made due to none attendance.
What happens?
On arrival at the breast screening unit you will be greeted by a female receptionist or radiographer who will ask you to confirm your name and address. You will then be asked some questions about your medical history and any history of breast disease in your family. The radiographer will then explain the mammogram screening procedure and answer any questions you may have. The mammogram is a low dose x-ray that detects changes in breast tissue which are too small for you or your doctor to find. Each breast is placed in turn on the machine and gently but firmly compressed. This keeps the breast still and allows a clear picture of the breast tissue to be taken. Research has shown that few women find the mammogram painful, many report feeling slightly uncomfortable. The compression only lasts a few seconds. When going for a screening you are asked to undress completely to your waist so it’s a good idea to wear a separate top with trousers or skirt.
When do I get the results?
Results are sent to you and your doctor two weeks after your screening. Most women receive a normal result and will be invited to come back in three years. For a small number of women, further x-rays may be required. However, most abnormalities found in the breast are NOT cancer. Occasionally you may be asked to attend another screening because the picture taken was not clear enough.
What happens if treatment is required?
If cancer is detected, you will be referred to a consultant surgeon to discuss the options available and a decision is made about the best course of treatment. Many women are given a choice of treatment depending on the type and location of their cancer. Treatment usually involves some kind of surgery, either a lumpectomy where the lump and surrounding breast tissue is removed, or a mastectomy where the whole breast is removed. Surgery is likely to be followed by radiotherapy, chemotherapy or hormone therapy or a mixture of these.
Help and support
If you have any special requirements e.g. you have learning difficulties, need an interpreter or have a disability, get in touch with the breast screening unit as you may need a longer appointment. The staff at the units are all female, and are there to help so do not be afraid to ask any questions. If treatment is required there are specialist breast care nurses who can offer advice and support throughout the whole process and course of treatment.
