The letter came in the mail a couple of days before I even got a chance to open it. It was a routine mammogram I thought nothing of, like most of the other mammograms I had done before. Except this one was a tad different…
The word “abnormal” jumped at me from the page, obscuring the remainder of the letter. I was being called in for a diagnostic mammogram due to an abnormality in one of my breasts. My heart dropped, my mind started racing, the ground suddenly did not feel as quite as firm…I grabbed my phone and started googling “abnormal mammogram”. The results were dizzying in their abundance and gravity…I felt around for the closest chair and sat down…
If you’ve ever received a similar or the same letter or phone call alerting you of a mammogram abnormality, you may well understand how I felt. The gut-wrenching feeling, the drop in your chest, the wobble in your shaky legs…
While abnormal mammogram notifications can be associated with numerous factors, a prevalent one for women over 40 is breast density. It certainly was in my case, and is in that of countless women.
But first what is even breast density?
Dense breasts are simply breasts that have more breast and connective tissue, which is denser than fat. Figure 1 below illustrates various levels of breast density.
Figure 1.
According to the Susan G. Komen website, “about 50 to 60% of women over the age of 40 in the United States have dense breasts”. These statistics decrease significantly for women ages 70-74, with only 20 to 30% of the latter exhibiting signs of breast density. It’s important to note that breast density is not based on weight, as 50 to 60% of women with healthy weights also have dense breasts, in contrast to 20 to 30% of obese women. Breast density can be affected by medications containing hormones, such as menopausal hormone therapy (MHT) and breast cancer treatment medication tamoxifen.
Why does breast density matter so much when it comes to breast cancer?
Women with dense breasts are 4-5 times more likely to develop breast cancer. Additionally, dense tissue can potentially hide abnormal findings in a mammogram. This is why since September 10, 2024, the U.S. Federal Drug Administration (FDA) requires mammography facilities to provide patients with a breast density notification. Patients’ providers also receive an assessment of their patients’ breast density.
Due to the heightened breast cancer risk associated with breast density, it is recommended to supplement routine mammograms with additional screenings such as ultrasounds. However, there are yet no specific screening guidelines or recommendations for additional screenings. Lowering breast density also doesn’t necessarily result in the risk of breast cancer decreasing.
So the next time you receive a notification letter after a mammogram, please check for the included breast density assessment. Make sure to speak to your provider about additional screening options and ways of lowering the risk of breast cancer. Most importantly, and while it’s easier said than done, do not panic! Most women with dense breasts end up having to undergo additional breast screenings to rule out any abnormalities.
As for me, going through additional diagnostic screening allowed me to learn and share more information around breast density. As I thank God that all is well, I’m also fully aware that every day is a blessing, and that this fight against breast cancer is our collective fight.
Stay healthy, stay well!
The Corporate Sister
