Breast Cancer Screening

Recommended Age Groups for Early Breast Cancer Screening

Breast cancer screening is recommended for the following groups:

• Women aged 20–30 years are advised to perform regular monthly breast self-examinations and undergo breast ultrasound to facilitate early detection of abnormalities.
• Women aged 30–40 years should combine clinical breast examination with breast ultrasound and mammography for comprehensive screening.
• Women over 40 years of age are recommended to undergo annual breast cancer screening using mammography, breast ultrasound, or breast MRI, as indicated by a physician.

Women at High Risk of Breast Cancer Who Should Undergo Regular Screening

In addition, women who belong to high-risk groups are strongly encouraged to undergo regular breast cancer screening, including:

• Women with abnormal breast signs, such as: The presence of small lumps or unusual swelling in the breast; Inverted nipples or changes in nipple shape; Unusual skin rash, dimpling, or small bumps on the breast; Abnormal nipple discharge; Thickened or roughened skin on the breast or around the nipple; Unexplained swelling in the armpit or near the shoulder blade
• Family history: Having close relatives (mother, sisters, etc.) diagnosed with breast or ovarian cancer; Presence of BRCA1 or BRCA2 gene mutations
• Personal medical history: Previous breast cancer in one breast; Certain benign breast conditions (e.g., atypical hyperplasia); History of chest radiation therapy before the age of 30
• Hormonal and reproductive factors: Early onset of menstruation (before age 12); Late menopause (after age 55); Never having given birth or having the first child after age 30; Use of hormone replacement therapy (HRT)
• Lifestyle factors: Overweight or obesity, Regular alcohol consumption, Physical inactivity

What Are the Most Effective Ways to Screen for Breast Cancer?

The selection of an appropriate breast cancer screening program depends on several factors, including age, family history, genetic background, and overall health status. In general, breast cancer screening tests are performed before symptoms appear, with the aim of detecting the disease at an early stage. Common screening methods include:

• Mammography: Mammography is the most widely used and effective breast cancer screening method and is considered the gold standard in clinical practice.
• Magnetic Resonance Imaging (MRI): Breast MRI is typically recommended for women at high risk, as it can detect small lesions that may be missed by mammography.
• Breast and Axillary Ultrasound: This method is non-invasive, easy to perform, cost-effective, and useful for evaluating breast tissue and axillary lymph nodes.
• Additional diagnostic methods: These may include clinical breast examination, breast thermography (thermal imaging), and biopsy or tissue sampling for more accurate evaluation when necessary.

Below are the breast cancer screening methods available at Thiện Nhân Hospital:

3D Mammography – Mammomat Inspiration:

• A state-of-the-art mammography X-ray system offering exceptional accuracy and enhanced patient safety.
• Optimized for Asian women’s breast tissue, delivering clearer and more detailed images.
• Enables early detection of breast tumors and microcalcifications as small as 1 mm, thanks to high-resolution, high-contrast 3D imaging.
• Provides layer-by-layer visualization of breast tissue, improving lesion detection—especially in women with dense breast tissue.
• Integrated Artificial Intelligence (AI) automatically adjusts compression force, ensuring a gentle, comfortable, and pain-free examination while maintaining safety.

3.0 Tesla MRI – Lumina Full Option (Siemens, Germany)

• The latest-generation MRI system, often referred to as “the visionary eye” in diagnostic imaging.
• Enables high-resolution whole-body scanning, allowing detailed evaluation of each organ.
• Accurately detects very small tumors, only a few millimeters in size, even at the earliest stages of development.
• Highly effective for breast cancer screening in women at high risk.

Three Steps of Breast Cancer Screening at Thiện Nhân Hospital

At Thiện Nhân Hospital, the breast cancer screening program is scientifically designed to be efficient, comprehensive, and patient-centered, ensuring accurate assessment of breast health.

Step 1: Initial Consultation and Risk Assessment

Patients are first examined directly by a specialist physician. The doctor reviews the patient’s medical history, identifies risk factors (such as genetic predisposition, hormonal factors, and lifestyle), and performs a comprehensive breast evaluation. Based on clinical findings, the physician recommends an appropriate screening package and orders relevant diagnostic tests.

Step 2: Diagnostic Imaging Procedures

Depending on the selected screening package and the patient’s health condition, the physician may prescribe one or more advanced diagnostic imaging techniques available at Thiện Nhân Hospital.

Step 3: Specialist Consultation and Results Interpretation

Once clinical examination, imaging studies, and breast cancer–related test results are available, the specialist provides a detailed explanation of the findings, offers a clinical conclusion, and recommends appropriate follow-up or treatment options. When necessary, the case may be further reviewed through multidisciplinary consultation with senior medical experts to ensure accurate diagnosis and the most optimal care plan for the patient.

Important Notes Before, During, and After Breast Cancer Screening

To ensure a smooth screening process, accurate results, and maximum comfort, please take note of the following important recommendations.

Before the Screening

Before undergoing breast cancer screening, patients are advised to:

• Choose a reputable screening facility: Select a trusted hospital or medical center with experienced breast and oncology specialists, along with advanced diagnostic equipment such as mammography, MRI, and ultrasound systems to ensure accurate diagnosis.
• Schedule the screening at an appropriate time: According to medical recommendations, breast screening should be performed at least one week after menstruation, when breast tissue is softer and less sensitive, allowing for clearer imaging.
• Prepare for mammography: Avoid using deodorants, talcum powder, lotions, creams, or perfumes on the chest and underarm areas, as these substances may affect imaging results.
• Disclose your medical history: Inform your physician about any previous medical conditions, breast surgeries, breast implants, pregnancy, or breastfeeding status so that the most suitable screening method can be selected.
• Provide accurate and complete information: Clearly share details regarding your menstrual cycle, current medications, and any family history of breast cancer to help physicians assess your risk accurately.

During the Screening

While undergoing breast cancer screening, please keep the following points in mind:

• Follow medical staff instructions: Carefully follow guidance regarding positioning, breathing, and remaining still during imaging procedures to ensure clear images and accurate results.
• Appropriate attire for mammography: During mammography, patients are advised to remove bras and jewelry and wear the hospital-provided gown to ensure safety and convenience.
• Communicate any discomfort to medical staff: If you experience pain, discomfort, or anxiety during the procedure, please inform the technologist immediately so that compression can be adjusted appropriately for your comfort.

After the Screening

After completing breast cancer screening, proper follow-up and maintaining healthy habits are essential. Patients are advised to:

• Monitor your breast condition: Inform your physician promptly if you notice any unusual changes in the breast area, such as pain, swelling, nipple discharge, or the presence of a lump.
• Undergo additional tests if required: In certain cases, the physician may recommend further investigations such as breast MRI or biopsy to accurately determine the nature of any detected abnormalities. Patients should be prepared for this possibility.
• Attend regular follow-up screenings: Women are encouraged to undergo breast screening once or twice per year, or according to individualized medical recommendations, to ensure early detection of potential abnormalities.
• Maintain a healthy lifestyle: Adopting a balanced diet, engaging in regular physical activity, getting adequate sleep, and limiting alcohol consumption can help reduce disease risk and improve overall health.

Below are selected images capturing the breast cancer screening process at Thiện Nhân Hospital, providing a clearer overview of the examination procedures and the quality of medical services offered.