{"id":3214,"date":"2025-11-17T09:06:43","date_gmt":"2025-11-17T09:06:43","guid":{"rendered":"https:\/\/ebruayvazoglu.com\/?p=3214"},"modified":"2026-10-01T07:09:20","modified_gmt":"2026-10-01T07:09:20","slug":"what-is-a-mammogram-how-is-a-mammogram-performed","status":"publish","type":"post","link":"https:\/\/ebruayvazoglu.com\/en\/what-is-a-mammogram-how-is-a-mammogram-performed\/","title":{"rendered":"What Is a Mammogram? How Is a Mammogram Performed?"},"content":{"rendered":"<p>Mammography is a specialized medical screening technique that images breast tissue using low-dose X-rays. The mammography procedure is based on gently compressing the breast between two plates for a few seconds while obtaining clear images. This method is the gold-standard imaging technique used in the evaluation of breast health and especially in the early diagnosis of breast cancer.<\/p>\n<table>\n<tbody>\n<tr>\n<td>What You Need to Know<\/td>\n<td>Information<\/td>\n<\/tr>\n<tr>\n<td>Definition<\/td>\n<td>Mammography is a specialized radiological imaging method performed using low-dose X-rays to detect abnormal structures and masses in the breast.<\/td>\n<\/tr>\n<tr>\n<td>Purpose<\/td>\n<td>It is used for the early diagnosis of breast cancer and the evaluation of masses, cysts, calcifications, and other lesions within the breast.<\/td>\n<\/tr>\n<tr>\n<td>Types<\/td>\n<td>It is divided into two types: screening mammography, performed when there are no symptoms, and diagnostic mammography, performed due to a complaint.<\/td>\n<\/tr>\n<tr>\n<td>Procedure<\/td>\n<td>The patient stands in front of the device, the breast is positioned and compressed between two plates, and images are taken from several angles.<\/td>\n<\/tr>\n<tr>\n<td>Procedure Duration<\/td>\n<td>It usually takes 10-15 minutes; both breasts are imaged from several different positions.<\/td>\n<\/tr>\n<tr>\n<td>Pain<\/td>\n<td>Mild discomfort may be felt due to breast compression; however, it is generally short-lived.<\/td>\n<\/tr>\n<tr>\n<td>When It Should Be Performed<\/td>\n<td>Annual screening mammography is recommended from the age of 40; if there is a familial risk, it may be started at an earlier age.<\/td>\n<\/tr>\n<tr>\n<td>Best Time<\/td>\n<td>The first week of the menstrual cycle is the period when the breasts are less sensitive; this time should be preferred.<\/td>\n<\/tr>\n<tr>\n<td>Preparation<\/td>\n<td>Products such as perfume, deodorant, and powder should not be applied to the breast before imaging, as they may cause artifacts in the image.<\/td>\n<\/tr>\n<tr>\n<td>Radiation Exposure<\/td>\n<td>A very low dose of X-rays is used; the benefit is far greater than the risk from the exposure.<\/td>\n<\/tr>\n<tr>\n<td>Evaluation of Results<\/td>\n<td>After imaging, the results are evaluated by a radiologist; if necessary, further examinations such as ultrasound or biopsy are requested.<\/td>\n<\/tr>\n<tr>\n<td>Follow-Up<\/td>\n<td>Annual checkups are sufficient for normal results; more frequent imaging may be required in high-risk situations.<\/td>\n<\/tr>\n<tr>\n<td>Advantages<\/td>\n<td>It increases treatment success and prolongs survival by enabling early diagnosis of breast cancer.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/ebruayvazoglu.com\/en\/what-is-a-mammogram-how-is-a-mammogram-performed\/#What_Is_the_Main_Purpose_of_Mammography_and_What_Does_It_Look_For\" >What Is the Main Purpose of Mammography and What Does It Look For?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/ebruayvazoglu.com\/en\/what-is-a-mammogram-how-is-a-mammogram-performed\/#What_Is_the_Difference_Between_Screening_Mammography_and_Diagnostic_Mammography\" >What Is the Difference Between Screening Mammography and Diagnostic Mammography?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/ebruayvazoglu.com\/en\/what-is-a-mammogram-how-is-a-mammogram-performed\/#What_Should_I_Pay_Attention_to_When_Coming_for_a_Mammogram\" >What Should I Pay Attention to When Coming for a Mammogram?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ebruayvazoglu.com\/en\/what-is-a-mammogram-how-is-a-mammogram-performed\/#Why_Is_Breast_Compression_So_Important_During_Mammography\" >Why Is Breast Compression So Important During Mammography?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/ebruayvazoglu.com\/en\/what-is-a-mammogram-how-is-a-mammogram-performed\/#What_Is_a_%E2%80%9CDense_Breast%E2%80%9D_Structure_and_How_Does_It_Affect_My_Mammography_Result\" >What Is a &#8220;Dense Breast&#8221; Structure and How Does It Affect My Mammography Result?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/ebruayvazoglu.com\/en\/what-is-a-mammogram-how-is-a-mammogram-performed\/#What_Is_%E2%80%9C3D_Mammography%E2%80%9D_Tomosynthesis_and_Why_Is_It_Better_for_Dense_Breasts\" >What Is &#8220;3D Mammography&#8221; (Tomosynthesis) and Why Is It Better for Dense Breasts?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/ebruayvazoglu.com\/en\/what-is-a-mammogram-how-is-a-mammogram-performed\/#When_Should_I_Start_Mammography_Screening_and_How_Often_Should_I_Have_It\" >When Should I Start Mammography Screening and How Often Should I Have It?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/ebruayvazoglu.com\/en\/what-is-a-mammogram-how-is-a-mammogram-performed\/#What_Do_the_%E2%80%9CBI-RADS%E2%80%9D_Categories_in_My_Mammography_Report_Mean\" >What Do the &#8220;BI-RADS&#8221; Categories in My Mammography Report Mean?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/ebruayvazoglu.com\/en\/what-is-a-mammogram-how-is-a-mammogram-performed\/#What_Do_BI-RADS_Categories_0_1_and_2_Mean\" >What Do BI-RADS Categories 0, 1, and 2 Mean?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/ebruayvazoglu.com\/en\/what-is-a-mammogram-how-is-a-mammogram-performed\/#Why_Does_the_BI-RADS_3_Probably_Benign_Category_Require_Follow-Up\" >Why Does the BI-RADS 3 (Probably Benign) Category Require Follow-Up?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/ebruayvazoglu.com\/en\/what-is-a-mammogram-how-is-a-mammogram-performed\/#Why_Do_BI-RADS_Categories_4_and_5_Require_a_Biopsy\" >Why Do BI-RADS Categories 4 and 5 Require a Biopsy?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/ebruayvazoglu.com\/en\/what-is-a-mammogram-how-is-a-mammogram-performed\/#What_Is_a_Biopsy_Core_Biopsy_and_Why_Is_a_Fine_Needle_Biopsy_Cytology_Not_Sufficient\" >What Is a Biopsy (Core Biopsy) and Why Is a Fine Needle Biopsy (Cytology) Not Sufficient?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/ebruayvazoglu.com\/en\/what-is-a-mammogram-how-is-a-mammogram-performed\/#What_Does_It_Mean_If_the_Biopsy_Result_Is_a_%E2%80%9CHigh-Risk_Lesion%E2%80%9D_Such_as_ADH\" >What Does It Mean If the Biopsy Result Is a &#8220;High-Risk Lesion&#8221; Such as ADH?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/ebruayvazoglu.com\/en\/what-is-a-mammogram-how-is-a-mammogram-performed\/#How_Does_the_Surgeon_Find_a_Lesion_That_Cannot_Be_Felt_by_Hand\" >How Does the Surgeon Find a Lesion That Cannot Be Felt by Hand?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/ebruayvazoglu.com\/en\/what-is-a-mammogram-how-is-a-mammogram-performed\/#Frequently_Asked_Questions\" >Frequently Asked Questions<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/ebruayvazoglu.com\/en\/what-is-a-mammogram-how-is-a-mammogram-performed\/#When_and_how_often_should_mammography_be_performed\" >When and how often should mammography be performed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/ebruayvazoglu.com\/en\/what-is-a-mammogram-how-is-a-mammogram-performed\/#During_which_period_of_the_menstrual_cycle_is_mammography_more_appropriate\" >During which period of the menstrual cycle is mammography more appropriate?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/ebruayvazoglu.com\/en\/what-is-a-mammogram-how-is-a-mammogram-performed\/#Is_pain_or_discomfort_felt_during_mammography\" >Is pain or discomfort felt during mammography?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/ebruayvazoglu.com\/en\/what-is-a-mammogram-how-is-a-mammogram-performed\/#What_is_the_difference_between_mammography_and_ultrasound\" >What is the difference between mammography and ultrasound?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/ebruayvazoglu.com\/en\/what-is-a-mammogram-how-is-a-mammogram-performed\/#What_do_calcifications_seen_on_mammography_mean\" >What do calcifications seen on mammography mean?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/ebruayvazoglu.com\/en\/what-is-a-mammogram-how-is-a-mammogram-performed\/#Can_mammography_be_performed_during_pregnancy_or_breastfeeding\" >Can mammography be performed during pregnancy or breastfeeding?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/ebruayvazoglu.com\/en\/what-is-a-mammogram-how-is-a-mammogram-performed\/#Does_dense_breast_tissue_affect_mammography_results\" >Does dense breast tissue affect mammography results?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-23\" href=\"https:\/\/ebruayvazoglu.com\/en\/what-is-a-mammogram-how-is-a-mammogram-performed\/#What_should_be_considered_before_mammography\" >What should be considered before mammography?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-24\" href=\"https:\/\/ebruayvazoglu.com\/en\/what-is-a-mammogram-how-is-a-mammogram-performed\/#How_long_does_it_take_to_receive_a_mammography_result\" >How long does it take to receive a mammography result?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-25\" href=\"https:\/\/ebruayvazoglu.com\/en\/what-is-a-mammogram-how-is-a-mammogram-performed\/#Why_is_mammography_so_effective_in_early_diagnosis\" >Why is mammography so effective in early diagnosis?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"What_Is_the_Main_Purpose_of_Mammography_and_What_Does_It_Look_For\"><\/span>What Is the Main Purpose of Mammography and What Does It Look For?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The primary goal of mammography is to detect breast cancer before it causes any symptoms, while it is still in the &#8220;hidden&#8221; stage. Most of the time, when a mass becomes palpable, it means that the disease has already been present for some time. Mammography, however, can detect the earliest signs of cancer years before these masses can be felt. When radiologists examine these black-and-white images, they are actually looking for three main abnormalities.<\/p>\n<p>These are:<\/p>\n<ul>\n<li>Masses<\/li>\n<li>Microcalcifications (Small calcification spots)<\/li>\n<li>Architectural distortion (Retractions in tissue structure)<\/li>\n<\/ul>\n<p>Masses are structures with borders that appear different from the surrounding tissue. Whether their edges are smooth or irregular and spiculated like a &#8220;hedgehog&#8221; provides the first clue as to whether they may be benign or malignant.<\/p>\n<p>Microcalcifications are much more important. These are tiny calcium deposits scattered across the image like &#8220;grains of salt.&#8221; Although they are often benign, clustering in a particular pattern, having irregular shapes (pleomorphic), or appearing as a thin line (linear) may be the earliest sign of cancer, especially DCIS &#8211; Ductal Carcinoma In Situ.<\/p>\n<p>Finally, there is architectural distortion, a difficult-to-detect but highly suspicious finding in which there is no distinct mass, yet the breast tissue appears &#8220;contracted&#8221; or pulled toward one point. This may be a sign of an underlying invasive cancer, particularly lobular cancer.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Is_the_Difference_Between_Screening_Mammography_and_Diagnostic_Mammography\"><\/span>What Is the Difference Between Screening Mammography and Diagnostic Mammography?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>These two terms are often confused, but there is a very clear difference between them. Screening mammography is like an annual &#8220;health checkup&#8221; performed on healthy women with no complaints, generally those over the age of 40. Its purpose is to look for a hidden problem. It is usually performed in two standard positions for each breast, for a total of 4 images, and then completed.<\/p>\n<p>Diagnostic mammography, on the other hand, is performed when there is an existing problem or to clarify a suspicion.<\/p>\n<p>Conditions requiring diagnostic mammography include:<\/p>\n<ul>\n<li>A palpable mass<\/li>\n<li>Nipple discharge or inversion<\/li>\n<li>Breast pain or skin changes such as redness or an orange-peel appearance<\/li>\n<li>Detection of a suspicious area on screening mammography (recall)<\/li>\n<li>Evaluation of patients with breast implants<\/li>\n<\/ul>\n<p>This examination takes longer than screening. The radiologist directs the technician to focus on the suspicious area. If necessary, special &#8220;spot&#8221; compression or &#8220;magnification&#8221; images of that area are obtained. The aim is to understand the nature of the suspicion and decide whether the next step, such as ultrasound or biopsy, is necessary.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Should_I_Pay_Attention_to_When_Coming_for_a_Mammogram\"><\/span>What Should I Pay Attention to When Coming for a Mammogram?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>There are some simple but very important preparation rules to ensure that your mammogram is both comfortable and provides the most accurate result:<\/p>\n<p>On the day of your appointment, you should not apply the following to your chest and underarm area:<\/p>\n<ul>\n<li>Deodorant<\/li>\n<li>Powder<\/li>\n<li>Lotion or body cream<\/li>\n<li>Perfume<\/li>\n<\/ul>\n<p>The metallic or shiny particles in these cosmetic products may appear as &#8220;calcifications&#8221; (microcalcifications) on a mammogram image. This may cause a &#8220;false alarm&#8221; due to a problem that does not actually exist, resulting in an unnecessary recall or additional imaging. Wearing two-piece clothing, with separate upper and lower garments, will be practical so that you can easily undress from the waist up.<\/p>\n<p>Another important point is timing. If you menstruate, try to schedule your appointment for the week after your menstrual bleeding has ended, generally between the 7th and 14th days after the start of your period. During the premenstrual period, the breasts swell and become very sensitive due to hormonal effects. Having the examination during this period may cause you to feel more discomfort than usual because of the compression.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Why_Is_Breast_Compression_So_Important_During_Mammography\"><\/span>Why Is Breast Compression So Important During Mammography?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>When mammography is mentioned, the issue that patients fear and worry about most is compression of the breast between two plates. We know that this procedure, although it lasts only a few seconds, can be uncomfortable. However, knowing why this procedure is &#8220;essential&#8221; may make it easier for you to accept the process.<\/p>\n<p>Imagine trying to read the writing inside a book while its cover is closed; this is impossible. Compression is like opening the pages of that book one by one. Breast tissue also has a layered structure consisting of milk glands, fatty tissue, and connective tissue. Without compression, these tissues overlap. This &#8220;overlapping&#8221; or superposition causes two major problems.<\/p>\n<p>First, clusters of normal tissue may &#8220;hide&#8221; a dangerous mass, which is called a false negative because the cancer is missed. Second, overlapping normal tissues may appear as if there is a &#8220;false mass&#8221; because their densities combine, which is called a false positive and causes unnecessary anxiety.<\/p>\n<p>Compression stabilizes the breast, prevents movement so the image does not become blurred, and thins the tissue, allowing a lower radiation dose to be used for a clearer image. Therefore, these few seconds of discomfort are actually necessary for diagnostic accuracy.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Is_a_%E2%80%9CDense_Breast%E2%80%9D_Structure_and_How_Does_It_Affect_My_Mammography_Result\"><\/span>What Is a &#8220;Dense Breast&#8221; Structure and How Does It Affect My Mammography Result?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In your mammography report, you will see a classification related to &#8220;breast parenchymal structure&#8221; or &#8220;breast density.&#8221; This indicates how much fatty tissue and how much &#8220;dense&#8221; tissue, meaning milk glands and connective tissue, your breast contains. This is not a disease but a breast type. On mammography, fatty tissue appears &#8220;black,&#8221; while dense fibroglandular tissue appears &#8220;white.&#8221; Cancer also appears &#8220;white.&#8221;<\/p>\n<p>Breast density is divided into four categories:<\/p>\n<ul>\n<li>Type A (Almost entirely fatty)<\/li>\n<li>Type B (Scattered fibroglandular tissue)<\/li>\n<li>Type C (Heterogeneously dense)<\/li>\n<li>Type D (Very dense \/ Extremely dense)<\/li>\n<\/ul>\n<p>Type A breasts are almost entirely &#8220;black,&#8221; making it very easy to see a &#8220;white&#8221; cancer against this black background. However, Type C and especially Type D breasts are almost entirely &#8220;white.&#8221; Searching for a white cancer against a white background is as difficult as &#8220;searching for a white rabbit in a snowstorm.&#8221; This is called the &#8220;masking effect.&#8221;<\/p>\n<p>Density, particularly Type C and Type D, has two important consequences. First, the risk of missing cancer increases because of this masking effect. Second, high breast density itself is considered an independent, although low-level, risk factor for developing breast cancer. Therefore, women with dense breast tissue may require complementary methods such as ultrasound or sometimes Breast MRI in addition to mammography.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Is_%E2%80%9C3D_Mammography%E2%80%9D_Tomosynthesis_and_Why_Is_It_Better_for_Dense_Breasts\"><\/span>What Is &#8220;3D Mammography&#8221; (Tomosynthesis) and Why Is It Better for Dense Breasts?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Digital Breast Tomosynthesis (DBT), commonly known as &#8220;3D mammography,&#8221; is one of the most important technological developments in recent years. In conventional 2D, or two-dimensional, mammography, the breast is compressed and an image is taken from a single angle. This is a &#8220;flat&#8221; photograph in which all tissues, whether benign, malignant, or suspicious, overlap.<\/p>\n<p>In tomosynthesis, the breast is again compressed, but the X-ray tube moves in an arc over the breast and takes a series of very low-dose images from different angles, for example 15-20 images. The computer combines these images to create thin 1-millimeter &#8220;slices&#8221; of the breast.<\/p>\n<p>What is the advantage? Let us return to those overlapping tissues in dense breasts. 3D mammography solves this problem of overlapping, or superposition. It opens that closed book, which represents 2D imaging, page by page, representing 3D imaging. This significantly increases the detection rate of small cancers hidden within dense tissue, especially invasive cancers. At the same time, it eliminates the &#8220;false mass&#8221; or false-positive alarm caused by overlapping normal tissues, thereby reducing the rate of unnecessary recalls. This makes a game-changing difference, especially in Type C and Type D dense breasts.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"When_Should_I_Start_Mammography_Screening_and_How_Often_Should_I_Have_It\"><\/span>When Should I Start Mammography Screening and How Often Should I Have It?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>This is the question women ask most frequently, and there are recommendations with slight differences within the medical community. However, the current and most widely accepted approach for women at average risk, meaning those without special risk factors such as family history or genetics, is to begin at the age of 40.<\/p>\n<p>General screening recommendations are as follows:<\/p>\n<ul>\n<li>Ages 40-44: Begin annual screening, with the decision made after discussing it with a doctor.<\/li>\n<li>Ages 45-54: Screening must be performed once a year.<\/li>\n<li>Age 55 and older: Screening may continue once a year or every two years, with the doctor&#8217;s approval, as long as the person&#8217;s health remains good.<\/li>\n<\/ul>\n<p>The emphasis on &#8220;once a year&#8221; is important. Some types of cancer seen particularly in women in their 40s tend to grow more rapidly, and a 2-year gap between screenings may result in a missed opportunity for early diagnosis.<\/p>\n<p>This schedule does not apply to women in the high-risk group, such as those with a BRCA gene mutation, a very strong family history, or a history of receiving radiation therapy to the chest at a young age. They should begin much earlier, sometimes at the age of 25-30, and must be placed in a much more intensive follow-up program with Breast MRI in addition to mammography.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Do_the_%E2%80%9CBI-RADS%E2%80%9D_Categories_in_My_Mammography_Report_Mean\"><\/span>What Do the &#8220;BI-RADS&#8221; Categories in My Mammography Report Mean?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>At the bottom of your mammography or ultrasound report, you will see a statement such as &#8220;Conclusion: BI-RADS Category X.&#8221; BI-RADS, the Breast Imaging Reporting and Data System, is an international, standardized &#8220;scoring&#8221; system used by radiologists.<\/p>\n<p>Instead of subjective language such as &#8220;I think this is somewhat suspicious,&#8221; it provides a clear classification that ensures all doctors, including radiologists, surgeons, and oncologists, understand the same thing. This category clearly defines the likelihood of cancer based on the radiologist&#8217;s findings and what the &#8220;next step&#8221; should be. There are seven categories ranging from 0 to 6:<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Do_BI-RADS_Categories_0_1_and_2_Mean\"><\/span>What Do BI-RADS Categories 0, 1, and 2 Mean?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>These categories generally indicate that there is &#8220;nothing to worry about&#8221; or that additional information is needed.<\/p>\n<p>Here are the simple meanings of these categories:<\/p>\n<ul>\n<li>BI-RADS 0 (Incomplete Assessment): This is not a final result. The radiologist has found the available images insufficient to reach a clear decision. Additional images such as magnification or spot compression, or ultrasound, are generally required. It is often used when there is no previous image available for comparison, such as during the first mammogram.<\/li>\n<li>BI-RADS 1 (Negative): An excellent result. There are no suspicious findings in the breast, and everything is normal. Routine follow-up, generally after 1 year, is continued.<\/li>\n<li>BI-RADS 2 (Benign): This is also an excellent result. There is a finding in the breast, such as a simple cyst, an old surgical scar, or a benign calcification, but the radiologist is 100% certain that it is benign. The risk of cancer is 0%. Just as with Category 1, routine follow-up after 1 year is sufficient.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Why_Does_the_BI-RADS_3_Probably_Benign_Category_Require_Follow-Up\"><\/span>Why Does the BI-RADS 3 (Probably Benign) Category Require Follow-Up?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>This is one of the categories that concerns patients the most, although it is actually a very important safety category that &#8220;prevents unnecessary biopsies.&#8221;<\/p>\n<p>BI-RADS 3 means that a finding that is &#8220;most likely benign&#8221; has been detected. The probability that this finding is cancer is only 2% or less. However, the radiologist has not been able to say that it is &#8220;100% benign,&#8221; as in Category 2.<\/p>\n<p>What is done in this situation? Instead of performing unnecessary biopsies on 98 out of 100 women for a finding with a 2% probability of cancer, which causes stress, cost, and an invasive procedure, a &#8220;short-term follow-up&#8221; protocol is applied. Benign lesions generally do not change and remain stable, whereas cancerous lesions tend to grow or change shape over time.<\/p>\n<p>Therefore, the patient is asked to return after 6 months. If the finding remains the same at the 6-month follow-up, the likelihood that it is benign becomes stronger. This follow-up, performed at 6, 12, and 24 months, lasts a total of 2 years. A finding that remains stable for 2 years is downgraded to Category 2, meaning benign. If even the slightest suspicious change, such as growth, occurs during any of these follow-ups, the category is immediately upgraded to 4 and a biopsy is planned.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Why_Do_BI-RADS_Categories_4_and_5_Require_a_Biopsy\"><\/span>Why Do BI-RADS Categories 4 and 5 Require a Biopsy?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>These two categories are the situations in which surgeons become directly involved and a &#8220;definitive tissue diagnosis,&#8221; meaning a biopsy, is required. These findings are never simply &#8220;followed.&#8221;<\/p>\n<p>BI-RADS 4 (Suspicious): This category covers a very broad range of findings that are too suspicious to be called &#8220;benign&#8221; but cannot yet be called &#8220;definite cancer.&#8221; The probability of cancer ranges from 2% to 95%. Therefore, radiologists divide it into 3 subgroups to indicate to the surgeon &#8220;how suspicious&#8221; it is:<\/p>\n<ul>\n<li>4A (Low suspicion): Probability between 2-10%.<\/li>\n<li>4B (Moderate suspicion): Probability between 10-50%.<\/li>\n<li>4C (High suspicion): Probability between 50-95%.<\/li>\n<\/ul>\n<p>BI-RADS 5 (Highly Suggestive of Malignancy): The radiologist is almost certain that the finding, such as a mass with irregular &#8220;hedgehog-like&#8221; borders or suspicious calcifications arranged along a milk duct, is cancer. The probability of cancer is over 95%.<\/p>\n<p>In both categories, 4 and 5, the next mandatory step is a biopsy. BI-RADS 6 is used for patients who have already been diagnosed with cancer through biopsy and are undergoing treatment planning.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Is_a_Biopsy_Core_Biopsy_and_Why_Is_a_Fine_Needle_Biopsy_Cytology_Not_Sufficient\"><\/span>What Is a Biopsy (Core Biopsy) and Why Is a Fine Needle Biopsy (Cytology) Not Sufficient?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>When a BI-RADS 4 or 5 lesion is detected, a tissue sample must be taken to determine what it is. In the past, &#8220;fine needle aspiration biopsy&#8221; was used, which only withdrew &#8220;cells&#8221; with a syringe, providing cytology. However, this only told us whether &#8220;cancer cells are present or absent.&#8221;<\/p>\n<p>Today, the gold standard is the &#8220;Core Needle Biopsy,&#8221; also called Tru-Cut. This procedure is performed under local anesthesia, generally with ultrasound guidance, and uses a special needle to remove strip-shaped tissue samples, similar to pieces of pasta. This provides not &#8220;cells&#8221; but &#8220;tissue,&#8221; meaning histology.<\/p>\n<p>A tissue diagnosis, or histology, provides us with the following vital information:<\/p>\n<ul>\n<li>The type of cancer, such as ductal or lobular<\/li>\n<li>Whether the cancer is &#8220;in situ,&#8221; meaning confined to the duct, or &#8220;invasive,&#8221; meaning capable of spreading<\/li>\n<li>Hormone receptors critical for treatment planning, including Estrogen and Progesterone<\/li>\n<li>HER2 status, which determines treatment<\/li>\n<\/ul>\n<p>Fine needle aspiration cannot provide any of this information. Core biopsy is the cornerstone of modern breast surgery and completely determines the treatment plan.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Does_It_Mean_If_the_Biopsy_Result_Is_a_%E2%80%9CHigh-Risk_Lesion%E2%80%9D_Such_as_ADH\"><\/span>What Does It Mean If the Biopsy Result Is a &#8220;High-Risk Lesion&#8221; Such as ADH?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Biopsy results do not always come back as &#8220;cancer,&#8221; meaning malignant, or &#8220;normal,&#8221; meaning benign. Sometimes they are reported as &#8220;High-Risk Lesions,&#8221; which can be described as a &#8220;gray area.&#8221;<\/p>\n<p>Some diagnoses in this group include:<\/p>\n<ul>\n<li>Atypical Ductal Hyperplasia (ADH)<\/li>\n<li>Lobular Carcinoma In Situ (LCIS)<\/li>\n<li>Papilloma With Atypia<\/li>\n<li>Radial Scar (Complex Sclerosing Lesion)<\/li>\n<\/ul>\n<p>These lesions are not &#8220;cancer,&#8221; but they are considered &#8220;precancerous&#8221; or a warning sign of cancer. The problem is that a needle biopsy samples only a small portion of the lesion. When an area diagnosed as &#8220;ADH,&#8221; a precancerous condition, on biopsy is completely removed surgically, it has been found to contain a &#8220;hidden&#8221; cancer, usually DCIS, in 15-30% of cases. This is called the &#8220;upgrade risk.&#8221;<\/p>\n<p>Because of this high risk, patients whose needle biopsy shows diagnoses such as ADH or papilloma with atypia must have the area completely removed surgically, even though they do not have cancer. This is not a treatment operation but a &#8220;diagnostic&#8221; operation; its purpose is to ensure that no hidden cancer remains.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_Does_the_Surgeon_Find_a_Lesion_That_Cannot_Be_Felt_by_Hand\"><\/span>How Does the Surgeon Find a Lesion That Cannot Be Felt by Hand?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The success of mammography, meaning its ability to detect cancer before it can be felt, creates a new challenge for surgery: How can a surgeon locate and remove millimetric calcifications or a 5 mm mass in the operating room when they cannot see or feel it inside the breast?<\/p>\n<p>For this purpose, the radiologist must &#8220;mark&#8221; or localize that area before surgery. In order for the surgeon to operate, the radiologist must place an &#8220;X&#8221; mark on the target.<\/p>\n<p>The traditional method was &#8220;Wire-Guided Localization&#8221; (WGL). On the morning of surgery, you would come to the hospital, the radiologist would place a wire in your breast, the tip of the wire would remain outside, and you would go to the operating room with that wire. The surgeon would then follow the wire and remove the lesion. This method is now being abandoned because it requires a second procedure on the morning of surgery, the wire may move out of place, and it negatively affects patient comfort.<\/p>\n<p>In modern breast surgery, &#8220;Wire-Free Localization&#8221; methods are now the gold standard. In these methods, the radiologist places a &#8220;marker,&#8221; smaller than a grain of rice, inside the suspicious lesion days or even weeks before surgery.<\/p>\n<p>The most common wire-free methods are:<\/p>\n<ul>\n<li>Radioactive Seed (RSL)<\/li>\n<li>Magnetic Seed (Magseed)<\/li>\n<li>Radar Reflector (SAVI SCOUT)<\/li>\n<\/ul>\n<p>On the day of surgery, the surgeon uses a special handheld detector, such as a gamma probe, magnetic probe, or radar device, that detects the signal from the seed, locates the target with millimetric precision, and removes it. These methods eliminate the stress experienced on the morning of surgery, allow the surgeon to remove the target more precisely with clear margins, and generally provide better cosmetic results.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Frequently_Asked_Questions\"><\/span>Frequently Asked Questions<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"When_and_how_often_should_mammography_be_performed\"><\/span>When and how often should mammography be performed?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Women are advised to have a mammogram once a year from the age of 40. If there is a family history of breast cancer, screening may begin earlier and be performed more frequently. The doctor&#8217;s recommendation is decisive according to the level of risk.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"During_which_period_of_the_menstrual_cycle_is_mammography_more_appropriate\"><\/span>During which period of the menstrual cycle is mammography more appropriate?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The first week of the menstrual cycle, meaning the days after menstruation ends, is the most appropriate period for mammography. During this period, breast tissue is softer, sensitivity is lower, and imaging quality increases.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Is_pain_or_discomfort_felt_during_mammography\"><\/span>Is pain or discomfort felt during mammography?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>During mammography, breast tissue is compressed for a few seconds. This pressure may cause mild discomfort, but it is generally short-lived and tolerable. The sensation of pain varies from person to person.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"What_is_the_difference_between_mammography_and_ultrasound\"><\/span>What is the difference between mammography and ultrasound?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Mammography shows the internal structure of the breast using low-dose X-rays and is more effective in detecting calcifications. Ultrasound is used as a complementary method in dense breast tissue or in the differential diagnosis of cyst-like formations.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"What_do_calcifications_seen_on_mammography_mean\"><\/span>What do calcifications seen on mammography mean?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Microcalcifications, meaning calcifications, may represent benign changes in the breast or may be a sign of early-stage cancer. Further evaluation may be required depending on their distribution pattern and density.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Can_mammography_be_performed_during_pregnancy_or_breastfeeding\"><\/span>Can mammography be performed during pregnancy or breastfeeding?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Mammography is generally not performed during pregnancy because of the radiation risk. During breastfeeding, imaging difficulties may occur because the milk ducts are full. Ultrasound is preferred during these periods.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Does_dense_breast_tissue_affect_mammography_results\"><\/span>Does dense breast tissue affect mammography results?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Yes, dense breast tissue may cause cancerous lesions to be hidden on mammography. In this case, advanced imaging methods such as ultrasound or MRI may also be used.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"What_should_be_considered_before_mammography\"><\/span>What should be considered before mammography?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Products such as perfume, deodorant, and lotion should not be used on the day of imaging because these substances may create spots on the image. Comfortable clothing should be preferred, and previous mammography results should be brought along.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"How_long_does_it_take_to_receive_a_mammography_result\"><\/span>How long does it take to receive a mammography result?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Mammography results are generally available within 1-3 days. However, if suspicious findings are seen in the images, additional tests may be required for further evaluation. It is important that the results are assessed by a specialist radiologist.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Why_is_mammography_so_effective_in_early_diagnosis\"><\/span>Why is mammography so effective in early diagnosis?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Mammography can detect cancerous cells even before masses develop. Early diagnosis increases the treatment success rate, allows the disease to be controlled with less invasive methods, and prolongs survival.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mammography is a specialized medical screening technique that images breast tissue using low-dose X-rays. The mammography procedure is based on gently compressing the breast between two plates for a few seconds while obtaining clear images. This method is the gold-standard imaging technique used in the evaluation of breast health and especially in the early diagnosis [&#8230;]\n","protected":false},"author":1,"featured_media":3213,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[39],"tags":[],"class_list":["post-3214","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-general"],"_links":{"self":[{"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/posts\/3214","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/comments?post=3214"}],"version-history":[{"count":1,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/posts\/3214\/revisions"}],"predecessor-version":[{"id":3216,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/posts\/3214\/revisions\/3216"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/media\/3213"}],"wp:attachment":[{"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/media?parent=3214"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/categories?post=3214"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/tags?post=3214"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}