Breast Cancer Quality Indicators
Breast Cancer Screening and Detection Services
The American Cancer Society estimates that there will be 178,480 new cases of breast cancer in women in the US in 2007 and that over 40,000 women will die from the disease.
When breast cancer is found early and is still localized (restricted to the site of origin, without evidence of spread), the relative survival rate, when measured at five years, is about 100 percent (American Cancer Society).
According to the National Cancer Institute screening guidelines, women in their 40s and older should begin having a screening mammogram on a regular basis, every one to two years. But the American Cancer Society recommends that by age 40, women should have a screening mammogram every year. (A diagnostic mammogram may be required when a questionable area is found during a screening mammogram).
Both organizations suggest that women who may be at increased risk for breast cancer should consult with their physicians about whether to begin having mammograms at an earlier age.
An evaluation of a breast lump or mammogram finding includes a thorough medical history, a physical examination, and additional diagnostic tests, such as a breast ultrasound. A biopsy may be needed for suspicious or abnormal findings. If cancer is found, other imaging and laboratory tests may be necessary. The appropriate tests will be determined by the type of cancer, and if and where the cancer has spread. (2007: Breast Cancer NCCN Clinical Practice Guidelines for Patients).
Does UVa provide a full range of breast cancer screening and detection services for breast cancer?
Yes. In fact, UVa has been a regional leader in bringing the best available tools for breast cancer detection to Virginia. UVa breast team members participated in a landmark national study that proved the importance of digital mammography in detecting breast cancer in many women. UVa provides:
- Full screening mammography, including digital mammography and Virginia’s only digital mobile mammography unit
- Diagnostic mammography, including MRI, Digital mammography and breast ultrasound
- Risk assessment, including genetic assessment and ductal lavage
- UVa performs all types of breast procedures including core-needle biopsy using stereotactic, ultrasound, or MRI guidance.
