Breast Check up
Every woman should check her breasts starting from the 20-25 year of age. The check up starts with of breast self-examination, which should be done by each woman every month.
Clinical Examination of the Breast
A very important aspect of the breast check up is a clinical breast examination by a specialist surgeon on the breast (breast surgeon). Clinical evaluation should include additional and complete record of history (personal and familial), symptoms, radiological findings and detailed description of palpable lesions . All these data are necessary to be integrated and compared with those of previous years. The consultation at this stage of check up, in addition to clinical breast examination includes the coordination of imaging tests. Then when radiological assessment is completed , follows the plan for follow up visits in the future, identification of the individual risk for each patient, genetic counseling when needed and finally achieving histological identification of the lesion. Once the diagnosis is established, further therapeutic approaches (surgery, medication, etc.) are consulted.
Mammography & Ultrasound
Screening (check up) is integrated with imaging tests, depending on the age, density of the breasts, symptoms and family history of the woman being tested. There is no rule, but certainly a breast ultrasound combined with clinical examination, it would be good to start from the age of 25 years. When the woman is at the right age group, the cornerstone of prevention is mammography. Generally women without family history) should perform the first mammogram (mammography for reference) at their 35s and then from 40th year of age once every year. For women having young relatives with breast cancer, the onset of screening mammography should be 10 years earlier from the onset of the disease in the family.
MRI (Magnetic Resonance) Mammography
Breast MRI mammography (MRI) contributes to evaluate women with increased risk for developing breast cancer. Moreover, when there are multiple findings from other tests that should be assessed in order to compare them and exclude malignancy. According to the American Society for Cancer, women with high risk of breast cancer, such as women with BRCA mutations or a strong family history of breast cancer, should proceed to regular control with MRI. Thus it is sometimes a very helpful tool when digital mammography and breast ultrasound have conflicting findings.