tried-and-tested method
Breast screening by mammography
Mammography is the most tried-and-tested X-ray procedure for detecting breast cancer.
Basics
What is a mammogram?
Mammography is an X-ray examination of the breast and the key imaging method used in organised mammography screening for the early detection of breast cancer. It is the only imaging method for early detection for which a proven benefit in terms of reducing breast cancer mortality has been demonstrated.
In our practices, we use digital mammography exclusively. The images are captured electronically in real time, enabling high-quality image display and a modern, optimised examination technique.
We also offer digital breast tomosynthesis (3D mammography). By providing a layer-by-layer view of the breast tissue, it can provide additional information – particularly in specific cases and where the breast tissue is dense – and complement conventional mammography.
Also known as: mammography · breast X-ray · mammography screening · digital mammography
Mammography
What can it display?
Micro-lime
Even the smallest calcium deposits, which may indicate early-stage cancers – a particular strength of mammography.
Asymmetries & changes in density
Structural changes in breast tissue that may indicate the presence of tumours.
Space requirements & nodes
Assessment of palpable nodules and visualisation of non-palpable findings.
Tissue changes
Scar tissue, fibroadenomas, cysts (in conjunction with ultrasound).
From what age?
Mammography – Recommendations by age
Different recommendations apply for mammography depending on a woman’s age and risk profile.
From 30
Statutory entitlement to a free annual clinical breast examination
From 50 to 75
The statutory mammography screening programme is offered to women aged between 50 and 75 every two years. A mammogram before the age of 50 may be advisable in cases of increased risk or following individual medical advice.
At any time
If lumps or other noticeable symptoms are present, the breast should be examined by a doctor as soon as possible, regardless of age. Depending on the patient’s age and the findings, breast ultrasound, mammography and, if necessary, an MRI scan or a tissue sample may be used.
Preparation
No special preparation is required. You can eat, drink and take your medication as normal. Please do not apply any gel or creamy body care products to your chest.
Positioning
You will lie relaxed on your back on the examination couch. Your upper body will be uncovered; some ultrasound gel will be applied to your chest to ensure the sound waves are transmitted effectively.
The mammography procedure
Two X-rays will be taken of each breast; to do this, you will be positioned on the mammography machine and your breast will be placed on a detector. There will be a very brief compression of the breast, which some people find uncomfortable. This is necessary, on the one hand, to ensure the X-rays are of the highest quality and, on the other hand, to minimise the radiation dose as much as possible. The examination takes only a few minutes.
Please avoid using powder, deodorant or creams on your chest and underarms on the day of the examination.
Diagnosis
Our specialists will review your examination within a few days. Any abnormal findings will be discussed with you immediately. The written report will be sent to your referring doctor.
FAQ
Questions about mammograms
The mammography screening programme is available to all women aged between 50 and 75 every two years. Statutory health insurance funds cover the full cost for their members. If you have private health insurance, your insurance provider will in most cases also cover the costs.
Outside the screening programme, a ‘diagnostic mammogram’ is only carried out where necessary and in cases of individual risks or symptoms. As a patient with statutory health insurance, you will always need a referral from your gynaecologist for this.
