Mammogram Screening Forms

Breast cancer as well known is the most common type of cancer in females and is responsible for the most number of deaths in females every year.

Breast cancer spreads very rapidly because of its extensive blood supply and a rich network of lymphatics. This is the very reason why a cancer of one breast spreads so quickly to another that it becomes necessary to do intervention before it invades the other side of the body.

Just like that and because of the same reason, breast cancer metastasis to other organs of the body more rapidly than cancers of other organs.

So this makes it necessary to diagnose the disease at the very initial stages because if diagnosed in time, breast cancer is hundred percent treatable.

Simple Ways to Screen for breast cancer

  1. Breast self-examination on a monthly basis
  2. And if found any signs, undergoing a simple mammogram are the most important and effective ways to screen for breast carcinoma.

What is a mammogram???

Mammogram or Mammography is basically an X-ray of the breast in which low-intensity X-rays are used to examine the breast tissue. It is also called a mammogram.

Ideally, a mammogram is to be done every two years after the female reaches 50 years. But, if there is any strong family history of breast cancer, it is recommended that one should undergo screening mammography after even 30 years of age.

How is a mammogram form filled?

A mammogram form has to be filled out to get information about the patient and know any risk factors present in the lady. For example, we all know that X-rays cannot be done in a pregnant lady so we have to know first if she is pregnant at the time of mammography.

Similarly, her past medical and surgical history and especially her family history of any kind of malignancy are inquired.

  1. Starting from the basic introduction of the patient, a mammogram form is filled out. The name of the patient, her age, and date of birth is also asked along with her contact number and email address.
  2. We also want to know if her Medicaid is active or if any other health insurance is active or not for later purposes in case she is found positive for breast cancer.
  3. Now we want to know the reason for her visit. Is it a regular annual checkup or she found something suspicious in self-examination?
  4. If she has had any previous mammograms, the report is required for further reference.
  5. Next, we ask and fill if the lady is currently pregnant or not, or if she is taking any birth control pills or hormonal replacement therapy for any reason. Hormonal replacement therapy has a very known effect and we want to know the drug history of this patient otherwise.
  6. In the medical history section, we are mainly interested in the family history of cancer. Any history of breast cancer in the father’s and especially the mother’s family is important to know as it has a strong genetic association.
  7. In the end, we inquire about her own history of cancer or if she underwent any procedure for this in the past.
Mammogram Screening form
Mammogram Screening form

Simi Karton

Dr. Simi Karton currently resides in Los Angeles with her husband. This website is a voluntary work of Dr. Karton to provide people with useful health-related information with a straightforward approach.

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