Dense breast tissue describes the ratio of fat to connective tissue and glands on the mammogram. It only describes how the breasts look on a mammogram, not how they feel. Each woman’s breasts have fat, connective tissue as well as milk ducts and lobules that together are glandular tissue. Dense breasts have higher amounts of glandular and connective tissue and also lower amounts of fatty tissue.
Jill Klemin, M.D., is a board-certified family medicine physician at Sanford North Clinic in Bismarck, North Dakota, and shares her insight.
Typically, breast density is inherited, but other factors can contribute. Women who are underweight for their height or have used postmenopausal hormone replacement therapy may have higher breast density. Lower breast density occurs as a woman:
Has taken certain hormonal medications
Studies have shown that women with extremely dense breast tissue do have a higher risk for breast cancer than women with lower breast density. Experts are unsure why. However, the main concern with dense breast tissue is that it can make cancer more difficult to spot. Dense breast tissue appears white on a mammogram, just like cancer.
The best way to find breast cancer early is to have regular mammograms. This is why the Edith Sanford Breast Center encourages women to start screening mammograms at age 40 and continue on a yearly basis.
No screening recommendations beyond mammography have been established for dense breasts, although research is underway. 3D mammography is able to evaluate the dense tissue better. It is important for women with dense breast tissue to talk with their doctor about questions and concerns. A doctor will look at personal risk factors to determine whether a woman should have more screening tests, such as a screening MRI. Women can reduce cancer risk by maintaining a healthy body weight, getting enough exercise and also limiting alcoholic drinks.
Some states, such as North Dakota, require health care providers to notify women when a mammogram indicates dense breasts. Many states also require insurance providers to cover additional imaging tests.
Edith Sanford Breast Center along with the Breast Specialty Clinic inside Sanford North Clinic in Bismarck and our genetic counselors provide personal risk evaluations, breast cancer screening, chemoprevention and genetic evaluation for women at increased risk of breast cancer due to personal risk factors.
As part of her practice, Klemin participates in the Breast Specialty Clinic at Sanford Health. Dr. Klemin received her medical degree from the University of North Dakota School of Medicine and Health Sciences at Grand Forks. She completed her residency in family medicine at the University of Wisconsin School of Medicine and Public Health in Madison. She has additional training in breast health and specializes in patients with atypical breast lesions, masses or a strong family history of breast cancer.
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