When talking about breast cancer prevention, the first image that comes to mind for most people is a mammogram. For decades, this test has been — and continues to be — the main ally in early detection of the disease. Despite advances in medicine, with new images and personalized treatments, many women wonder: is mammography still really the best way?
Why does mammography still make a difference?
The answer is yes, and for good reason. It is the only test proven to reduce deaths from breast cancer. This happens because mammography identifies very small nodules, invisible to the touch, in silent phases of the disease, when the chances of a cure are very high. The exam, which is quick and carried out with low doses of radiation, detects millimetric changes at the beginning of tumor formation, even before any symptoms appear.
Limits of the exam and advances that complement prevention
Like any exam, mammography has some limitations. In women with dense breasts, something common in younger women or women who have never breastfed, breast tissue can make it difficult to see lesions. In these cases, the doctor may recommend other complementary tests, such as breast ultrasound or, in more specific situations, magnetic resonance imaging. These technologies increase diagnostic sensitivity, but do not replace mammography: they are only used as an aid when indicated.
Many women are still afraid of mammography due to the pain or discomfort, but modern equipment is designed to make the exam more comfortable and accurate. And most importantly: the discomfort of a few seconds does not compare to the peace of mind of knowing that everything is fine or, if something is identified, the advantage of starting treatment early, with a greater chance of success and less impact on the patient’s life.
When to take the exam and reinforce women’s health
The recommendation in Brazil is that women between 50 and 69 years old undergo mammograms every two years for screening. Women with risk factors, such as a family history of breast or ovarian cancer, should begin monitoring earlier and undergo exams more frequently, always in accordance with medical advice. Even before the age of 50, it is essential to keep clinical exams and gynecological monitoring up to date.
Pink October reminds us, every year, that women’s health care must be constant, conscious and practical. Talking about mammography goes beyond diagnosis: it means talking about self-care, decision-making and empowerment. It’s a chance to transform a simple exam — often left aside due to fear or lack of time — into the beginning of a new story, lighter, healthier and full of future.
Mammography remains the best option not because it is the only option, but because, to this day, it is the one that saves the most lives. And the sooner we face this reality, the more chances we have of living peacefully and healthily.
Dr. Felipe Roth Vargas – CRM/SP 155352 | EQR 94668
Radiologist Doctor
Membro da Brazil Health
