1. What happens when you come for a mammogram? Naomi van Niekerk October 2007

2. What happens when I come for a mammogram? Complete personal info form Complete personal info form Complete medical info form in Complete medical info form in mammo room mammo room Explanation of examination Explanation of examination Change for examination Change for examination

3. What must I do before my appointment? *Arrive 15 min before appointment time. *Arrive 15 min before appointment time. *Website: www.wpxrays.co.za *Website: www.wpxrays.co.za *Clothing *Clothing *Powder *Powder *Painkiller 30 min. prior to examination *Painkiller 30 min. prior to examination * PREVIOUS MAMMOGRAMS * PREVIOUS MAMMOGRAMS

4. How long does the examination take? * completion of forms10 mins * completion of forms10 mins * mammogram10 mins * mammogram10 mins * film processing5 mins * film processing5 mins * film reading and reporting10 mins * film reading and reporting10 mins * typing of report and checking10 mins * typing of report and checking10 mins * breast ultrasound10 mins * breast ultrasound10 mins Total:55 mins

5. Is it safe to have a mammogram? *Low dose radiation *Low dose radiation *Compression uncomfortable *Compression uncomfortable *Temporary sensitivity / bruising *Temporary sensitivity / bruising

6. Can all breast cancers be found? A mayor value of mammography is detection of non- palpable cancer A mayor value of mammography is detection of non- palpable cancer Mammography is single most accurate method Mammography is single most accurate method Not 100% accurate ( 10% - 15% clinically detected breast cancers cannot be seen on mammography) Not 100% accurate ( 10% - 15% clinically detected breast cancers cannot be seen on mammography) One third of breast cancers seen on mammography will not be detected clinically One third of breast cancers seen on mammography will not be detected clinically Monthly breast self examination Monthly breast self examination Yearly visits to doctor Yearly visits to doctor Any changes in between see doctor Any changes in between see doctor

7. How often should I have a mammogram? * Age:35 – 39 Baseline study * Age:35 – 39 Baseline study 40 - 49 1 – 2 years 50 and upyearly * Risk of breast Ca increases with age * Risk of breast Ca increases with age

8. Mammogram consent form * Informed consent: * Informed consent: Request a mammogram Request a mammogram Has read and understood information Has read and understood information Risk of implant rupture/ leak Risk of implant rupture/ leak Bruising Bruising

9. Remember, a mammogram only takes a couple of minutes, but it can save your life! Remember, a mammogram only takes a couple of minutes, but it can save your life! PLEASE BRING OLD MAMMOGRAM FILMS FOR COMPARISON. PLEASE BRING OLD MAMMOGRAM FILMS FOR COMPARISON.