Key TakeawaysBreast cancer screenings and diagnoses declined sharply earlier this year, when the SARS-CoV-2 virus (COVID-19) hit the U.S.It is now safe to go have mammograms and other screening or diagnostic tests and procedures for breast cancer.Getting screened is as important for your health as taking precautions against COVID-19.Everyone, whether diagnosed with breast cancer or not, should follow precautions to prevent exposure to the virus when in a doctor’s office or testing center.
Key Takeaways
Breast cancer screenings and diagnoses declined sharply earlier this year, when the SARS-CoV-2 virus (COVID-19) hit the U.S.It is now safe to go have mammograms and other screening or diagnostic tests and procedures for breast cancer.Getting screened is as important for your health as taking precautions against COVID-19.Everyone, whether diagnosed with breast cancer or not, should follow precautions to prevent exposure to the virus when in a doctor’s office or testing center.
The COVID-19 pandemic may have caused you to postpone mammograms or other breast cancer screenings, but it is time to reschedule, and it’s safe to do so, say experts.
When the world came to a grinding halt back in March, many testing centers temporarily shuttered, forcing people to cancel or postpone appointments, mammograms, and other screening tests. The decline in screening tests and diagnoses and the impact it has had in just a few months is staggering. In the United States, from January, 2019 through February, 2020, more than 2,200 women were diagnosed withbreast canceron a weekly basis.During the pandemic, that number dropped to 1,064 new diagnoses per week: a decrease of 51.8%.
That may sound like good news, but it’s not. Fewer diagnoses were made because fewer women were getting screened.
Without a diagnosis, treatment cannot take place, putting an average of more than 1,000 women per week at risk of delaying cancer treatment and possibly being diagnosed with a more advanced stage of cancer later. One estimate is that 33,890 cases of deaths due to breast cancer will occur because of the pause in screening and diagnoses.
“Back in the beginning of the pandemic, emergency departments were filling up with COVID-19 patients. If you weren’t sick with symptoms of the SARS-CoV-2 virus, you couldn’t get into the doctor’s office," Dorraya El-Ashry, PhD, Chief Scientific Officer of theBreast Cancer Research Foundationin New York City tells Verywell. “Annual screenings were told to wait, and most experts felt it was safe to hold off for a couple of months, but it turned into much longer.”
Initially, patients couldn’t be seen because there was a shortage of masks for technologists and other healthcare workers.
“But eventually, many centers were able to come up with ways for patients to come in and get their breast cancer screening in socially distanced ways,” El-Ashry says. “For example, instead of sitting in a waiting room, people would wait in their car until they were called in, so there was not more than one patient in the office at a time. It has been increasingly possible to be able to go in and get mammograms.”
Mammograms, ultrasounds, and other procedures, such as biopsies or MRIs are important tools for breast cancer screening and diagnosis. Breast Cancer Month in October is a good time to start performing monthlybreast self examinationsand to schedule an appointment to have your breasts checked.
Screenings Are a Must for Your Bust
All women (and even some men) are at risk of developing breast cancer and should be screened. Although white women of European descent have a higher chance of being diagnosed with breast cancer, women of Latin, African, or Asian descent have a higher chance of being diagnosed with more aggressive breast cancer at a younger age.
“Black women have a much higher risk of dying from breast cancer, due to access factors and biological disparities,” El-Ashry says. And although the BRCA mutation that increases the risk of developing breast cancer is prevalent in Latinx women, breast cancer screening is known to be low among the population. The BCRF is addressing those problems through research, El-Ashry says.
“I had my first mammogram in October, 2019, and a cyst was spotted,” Gonzalez tells Verywell. “They told me to come back in six months, and I almost didn’t go. I’m a working mom; self-care was not on my priority list. I had a 3D mammogram and then an ultrasound. Behind the cyst was a tumor.” Biopsy showed Gonzalez had invasive ductal carcinoma, stage 1.
Invasive Ductal Carcinoma (IDC) Symptoms and Prognosis
Gonzalez had alumpectomyin November, 2019, and started chemotherapy in January, 2020, going every Monday, when Broadway theaters are closed. “I was able to perform for two days after my treatment and then would start to feel fatigued on the third and fourth days,” Gonzalez says. “The old school mentality of ‘the show must go on’ was a healing force, and singing was my comfort. In the beginning of March, I was still going to chemotherapy in the city but started hearing rumblings about a pandemic. Then on March 11, Hamilton was put on pause.”
Gonzalez had to continue chemotherapy, even during the pandemic. “You can’t miss a treatment or an appointment, but eventually my treatment was moved near my home in New Jersey,” she says. Chemotherapy ended in April, and Gonzalez went through radiation in June. Her treatment is complete and a recent mammogram showed no signs of cancer.
Gonzalez now strongly advocates for Latinx and Hispanic women to go for mammograms—and follow-up appointments—as a BCRF ambassador “Your health is number one. Breast cancer affects the whole family. Make and go to appointments not just for yourself but for your loved ones, too,” she says.
When To Get a Mammogram
Organizations such as the American College of Obstetrics and Gynecology, the American Medical Association, and the American Cancer Society recommend starting mammograms at age 40, but no later than age 50, and having one every one to two years until about age 75.
Ultimately, the right time for you to start breast cancer screenings, the frequency that you have them, and when you don’t need them anymore is a matter of weighing your personal risk factors when you talk to your doctor. If you are in a high-risk group, such as having close relatives who have had breast cancer, your doctor may recommend that you start having mammograms at age 30.
“Mammograms saved my life,” Lissa Poirot, a travel writer living in the Philadelphia area tells Verywell. “I had faithfully gone for mammograms every October for 10 years. Every year I was fine, and then one year I wasn’t. I had no pain, felt no lump. I had a 3D mammogram because I had dense breast tissue and it was caught that way. In just one year, the tumor formed and spread into one lymph node,” says Poirot. “I can’t stress it enough. The mammogram saved my life.”
What Is a Mammogram?
Three weeks after her tumor was discovered, Poirot had a double mastectomy. She went through four rounds of chemotherapy and then reconstructive surgery. That was three years ago. She still sees her oncologist, but hasn’t had any trepidation about going to get checked during the pandemic.
“Early on in the pandemic, my appointments werevirtual telemedicineappointments. But as soon as I could go in person, I did,” she says. “Yes, I’m at high risk of getting the virus because of my cancer status, but I’m also at high risk of dying because of cancer. Going to a doctor’s office is one of the safest places you can go. I was the only patient in the office, and they took every precaution.”
“I worry about the people who don’t have cancer and don’t want to go get checked,” Poirot says. ”Many are nervous about it and think mammograms hurt. Cancer hurts a lot more.”
“If you feel something or sense something, trust your instincts and go get it checked, even if you’re younger than 40,” Gonzalez says. “To put it off is really detrimental.”
Lissa Poirot, Breast Cancer SurvivorI worry about the people who don’t have cancer and don’t want to go get checked. Many are nervous about it and think mammograms hurt. Cancer hurts a lot more.
Lissa Poirot, Breast Cancer Survivor
I worry about the people who don’t have cancer and don’t want to go get checked. Many are nervous about it and think mammograms hurt. Cancer hurts a lot more.
What This Means For You
If you have breast cancer and are undergoing immunotherapy,such as for triple-negative breast cancer, your treatment may affect your lungs, possibly increasing your vulnerability to COVID-19. Take extra precautions when going to your medical appointments. Ask your provider if telemedicine visits are an option.
If you completed treatments for breast cancer,continue your followup appointments. Take precautions such as wearing a mask and/or gloves.
If you have not been diagnosed with breast cancer but are due for a mammogram,go! “Today it is definitely riskier to hold off,” El-Ashry says. “The data from the decline in screenings and diagnoses during the pandemic tells us what happens if we hold off for a significant amount of time.”
Staying Safe During Mammograms and Other Medical Appointments
Ready to make an appointment with your doctor or schedule a mammogram? Here are a few tips to keep in mind when you go:
The information in this article is current as of the date listed, which means newer information may be available when you read this. For the most recent updates on COVID-19, visit ourcoronavirus news page.
4 SourcesVerywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Kaufman HW, Chen Z, Niles, J, et al.Changes in the number of US patients with newly identified cancer before and during the coronavirus disease 2019 (COVID-19) pandemic.JAMA Netw Open.3(8):e2017267. doi:10.1001/jamanetworkopen.2020.17267Lai A, Pasea L, Banerjee A, et al.Estimating excess mortality in people with cancer and multimorbidity in the COVID-19 emergency.medRxiv. doi:10.13140/RG.2.2.34254.82242Breast Cancer Research Foundation.Where racial disparities persist in breast cancer care.Dense Breast-Info.Table: Screening guideline comparison in average-risk women. densebreast-Info.org.
4 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Kaufman HW, Chen Z, Niles, J, et al.Changes in the number of US patients with newly identified cancer before and during the coronavirus disease 2019 (COVID-19) pandemic.JAMA Netw Open.3(8):e2017267. doi:10.1001/jamanetworkopen.2020.17267Lai A, Pasea L, Banerjee A, et al.Estimating excess mortality in people with cancer and multimorbidity in the COVID-19 emergency.medRxiv. doi:10.13140/RG.2.2.34254.82242Breast Cancer Research Foundation.Where racial disparities persist in breast cancer care.Dense Breast-Info.Table: Screening guideline comparison in average-risk women. densebreast-Info.org.
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
Kaufman HW, Chen Z, Niles, J, et al.Changes in the number of US patients with newly identified cancer before and during the coronavirus disease 2019 (COVID-19) pandemic.JAMA Netw Open.3(8):e2017267. doi:10.1001/jamanetworkopen.2020.17267Lai A, Pasea L, Banerjee A, et al.Estimating excess mortality in people with cancer and multimorbidity in the COVID-19 emergency.medRxiv. doi:10.13140/RG.2.2.34254.82242Breast Cancer Research Foundation.Where racial disparities persist in breast cancer care.Dense Breast-Info.Table: Screening guideline comparison in average-risk women. densebreast-Info.org.
Kaufman HW, Chen Z, Niles, J, et al.Changes in the number of US patients with newly identified cancer before and during the coronavirus disease 2019 (COVID-19) pandemic.JAMA Netw Open.3(8):e2017267. doi:10.1001/jamanetworkopen.2020.17267
Lai A, Pasea L, Banerjee A, et al.Estimating excess mortality in people with cancer and multimorbidity in the COVID-19 emergency.medRxiv. doi:10.13140/RG.2.2.34254.82242
Breast Cancer Research Foundation.Where racial disparities persist in breast cancer care.
Dense Breast-Info.Table: Screening guideline comparison in average-risk women. densebreast-Info.org.
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