How often should a mammogram be performed?

Question

Hi doctor,

I had a three-dimensional mammogram and ultrasound last month. This was my first mammogram, and it showed left focal asymmetry. The subsequent ultrasound revealed no issues in the area of concern. I received a BI-RADS 1 rating, indicating no clinically palpable mass, and was advised to have yearly screenings. However, I have read that focal breast asymmetry should be classified as BI-RADS 3 and followed up in six months. Is it necessary to have another mammogram and ultrasound every six months, or can I wait a year?

Please suggest.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

I have reviewed the reports (attachments removed to protect the patient's identity). The mammogram (MMG) initially showed suspected focal asymmetry, but it was ultimately reported as BI-RADS (breast imaging reporting and data system) 0, indicating that no definitive conclusion could be reached. Consequently, an ultrasound (USG) was performed, which showed no abnormalities and was reported as normal. Thus, the final BI-RADS rating is 1.

However, I would like to understand why an MMG was recommended in the first place. Risk assessment or preventive screening for breast cancer can be conducted at any time.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

I understand your concern.

Then it is best to repeat the ultrasound (USG) after a year or as directed by your doctor.

Answer 3

Hi,

Welcome back to icliniq.com.

I understand your concern.

For your age, I would recommend only an ultrasound (USG). However, some may suggest a mammogram (MMG). Additionally, I advise getting vaccinated against cervical cancer.

Thanks and regards.