Breast Cancer Frequently Asked Questions About Mammography By Womens Imaging, January 6, 2014 For women about to undergo their first mammogram, or even for those who have already adopted the routine, we understand questions may arise about the exam and its purpose. Below are frequently asked questions from women answered by Dr. Margarita Zuley, director of breast imaging at Magee-Womens Imaging of UPMC. How often should I have a mammogram? Dr. Zuley: If you are forty or older you should have an annual screening mammogram yearly. What are ways to avoid discomfort during a mammogram? Dr. Zuley: Some women experience slight discomfort when they have a mammogram. Those tend to be younger women who are thin and have what we call “dense breast tissue,” which is a lot of breast tissue in their breast. If that happens a couple things you could do: don’t drink a lot of caffeine before you come and take some Tylenol if you are able to take some before you come – those will help to reduce the discomfort. Also, the patient is in control during the study and they can ask the technologist to stop compression if it hurts. What if I am called back following my mammogram? Dr. Zuley: Screening mammography is meant to detect every possible abnormality that could exist. Most of the time when we recall a patient from a screening (mammogram) they do not have breast cancer. It is uncommon that they do. Most of the time it’s just that we need to take additional images. Tomosynthesis should help relieve this stress and anxiety significantly. What is tomosynthesis? Dr. Zuley: Tomosynthesis is an advanced mammogram where the x-ray tube moves through a small arc and we get a series of pictures that we can look at through thin slices analogous to looking at every page in a book as opposed to looking through a whole book with a clear cover on it. It allows us to be more accurate and find smaller lesions. What are the benefits of tomosynthesis over traditional mammography? Dr. Zuley: At this point in time we feel that tomosynthesis will benefit the majority of our women. If you are a screening patient it should improve our ability to find early cancer and reduce the chance that we will recall you for additional views. If you are presenting with a problem it’s possible that the radiologist will feel tomosynthesis will benefit you and will perform the test as needed. How do I schedule a mammogram? Dr. Zuley: It’s very easy to schedule a mammogram. One way is to call our Toll Free number which is 1-800-649-4077 or you can go to our website which is UPMC.com/Magee. At the website you just enter your name and phone number and e-mail address and we’ll contact you and help you make that appointment. For all other questions, speak with a dedicated support person by calling 1-800-649-4077.