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Breast Cancer Screening and Dense Breasts: What Are My Options?

You may want to have a say in this decision, or you may simply want to follow your doctor's recommendation. Either way, this information will help you understand what your choices are so that you can talk to your doctor about them.

Breast Cancer Screening and Dense Breasts: What Are My Options?

Here's a record of your answers. You can use it to talk with your doctor or loved ones about your decision.

Get the facts

Your options

  • Have a mammogram to screen for breast cancer.
  • Have an MRI or ultrasound with your mammogram.

Key points to remember

  • The more dense your breast tissue is, the harder it is to see cancer on a mammogrammammogram image. That's because dense tissue looks white onscreen, just like cancer does.
  • Having dense breasts may slightly increase your risk for breast cancer. But your risk depends on many things.
  • When deciding about breast cancer screening, you'll need to think in terms of your total breast cancer risk. Ask your doctor to go over your breast cancer risk factors with you, so you can decide what screening is right for you.
  • Screening tests for breast cancer include mammogram, breast ultrasoundbreast ultrasound, and magnetic resonance imaging (MRI)magnetic resonance imaging (MRI). Each type of test shows breast tissue differently and finds things that the others don't. Depending on your risk level, insurance may pay only for a mammogram.
  • Cancer screening comes with the risk of finding things that look like cancer, but aren't. This "false-positivefalse-positive" problem can lead to unneeded tests, biopsybiopsy, and sometimes treatment. When deciding about screening, weigh this risk against the possible benefits of detection, especially with the MRI. Breast MRI is very good at finding cancer. But it's also more likely than other tests to mistake non-cancer breast changes as possible cancer.

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