BreastCheck
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Breast Cancer
Breast cancer is one of the most commonly diagnosed cancers in Manitoba women. Screening mammograms can find breast cancer early, when there may be more treatment options and a better chance of a cure.
Every year 900 Manitoban women are diagnosed with breast cancer and 200 will die from the disease.
Only 10% of women diagnosed with breast cancer have a family history of breast cancer.
BreastCheck is a program that checks Manitoba women ages 50 and over for early signs of breast cancer. Regular screening mammograms are the best way to find breast cancer early. When found early, there may be more treatment options and better chance of a cure.
Age 50-74?
Most women age 50 to 74 should have a screening mammogram every 2 years. Trans*, non-binary, and gender diverse people may also need regular mammograms.
Talk with your health care provider about your individual risk for breast cancer.
Women can be screened at BreastCheck if they are 50 years of age and over and:
- do not have breast symptoms such as unusual lumps or bloody nipple discharge,
- do not have a personal history of breast cancer, and
- do not currently have breast implants.
Women who are not eligible to be screened at BreastCheck should speak with their health care provider about the best breast health care for their individual needs. Women who have symptoms of breast cancer should be referred to a diagnostic mammogram clinic by a health care provider for further testing.
Get a BreastCheck!
Is it time for a screening mammogram? Call BreastCheck at 1-855-95-CHECK (1-855-952-4325) to make an appointment.
BreastCheck has mammogram clinics all over -Manitoba:
- Boundary Trails Health Centre - Junction of highways 3 and 14, Winkler MB
- Brandon Nurses Residence - 620 Frederick Street, Brandon MB
- Thompson General Hospital - 871 Thompson Drive South, Thompson MB
- Misericordia Health Centre - #5-25 Sherbrook Street, Winnipeg MB
- BreastCheck Mobile Clinics - travel to nearly 90 rural and northern communities on a two-year cycle.
Call BreastCheck at 1-855-95-CHECK (1-855-952-4325) to make an appointment. No referral is required.
A Screening Mammogram
A mammogram is an x-ray of the breast tissue. An x-ray is a type of radiation that can pass through the body and is used to make an image of the tissue and bones. A mammogram image shows the detail of breast tissue from two different angles.
On the day of your mammogram appointment:
Do not wear deodorant.
Wear a two piece outfit.
Screening vs. Diagnostic Mammogram
The type of machine used and the process to get the first four images is the same for a screening or diagnostic mammogram. More images may need to be taken in a diagnostic mammogram to look at a specific area more closely, and different types of tools may be used to compress the tissue in different ways.
Potential Benefits & Potential Harms of Breast Cancer Screening
For women of average risk, research shows that the potential benefits of breast cancer screening with mammography outweigh the potential harms. BreastCheck recommends most women age 50-74 have a screening mammogram every 2 years.
Potential Benefits
Research shows that regular screening mammograms reduce deaths from breast cancer in women age 50 to 74 by 20-30%.
This is due to early detection. Most breast cancers discovered through regular screening are found at an earlier stage when there may be more treatment options as well as more positive outcomes.
Potential Harms
Breast screening does not prevent breast cancer. A mammogram can only find breast cancer if it is already there. Some women may develop breast cancer before their first mammogram or between mammograms.
It is important to know how your breasts normally look and feel. Contact your healthcare provider if you notice any changes in your breasts between screening appointments, even if you had a normal screening mammogram.
- False Negatives - Mammograms do not find all breast cancers. 20 out of every 100 breast cancers cannot be seen on a mammogram, some cancers are very difficult to see on a mammogram, and/or the radiologist reading the mammogram may not see cancer (this happens occasionally no matter how experienced the doctor is). Breast density is a risk factor that may make it harder to see breast cancer on a mammogram. Effective June 2019, breast density will be included on your mammogram result letter, which is sent to you and your healthcare provider. Learn more about breast density categories (pdf).
To obtain the breast density category from:- your most recent BreastCheck mammogram, wait for your result letter.
- the BreastCheck mammogram prior to your most recent mammogram, complete this form and send to BreastCheck at #5-25 Sherbrook Street, Winnipeg, MB, R3C2B1.
- your most recent BreastCheck mammogram, wait for your result letter.
- False Positives -About 5 out of every 100 women screened at BreastCheck will be sent for further tests. Only 1 of these 5 women will be diagnosed with breast cancer.
- Overdiagnosis -Mammograms are not guaranteed to save your life. Not all breast cancers found at screening can be cured. Some women will die of breast cancer even though it was found by a screening mammogram; some will die of something else before they would die of breast cancer. For these women, their quality and length of life may not be increased by finding the breast cancer. There is no way to know which women will fall into these groups and which women will be truly helped by screening.
- Distress - Breast cancer screening and follow-up testing can includes harms of discomfort, pain, and anxiety.
Results
Some women may be asked to return in 1 year. The most common reasons for this are:
- High or low increased risk based on family history of breast and/or ovarian cancer.
- The radiologist thinks it is best for the woman to come more often based on their clinical assessment.
- It is the woman's first mammogram and we do not have other mammograms to compare.
BreastCheck will send you a letter to remind you when it is time to book your next appointment. Call us if you do not receive a letter.
Even if you have a normal mammogram result, if you notice any changes from how your breasts normally look and feel, you should contact your healthcare provider.
CLICK CHART ABOVE TO ENLARGE
Your mammogram report will also note your breast density. Breast density is how breast tissue appears on a mammogram image. Breast tissue is made up of two types of tissue: glandular and connective (dense) tissue and fatty (non-dense) tissue. A person’s breast tissue may be called dense if they have more glandular tissue than fatty tissue. BreastCheck categorizes breast density into one of four categories:
a) almost all fatty tissue
b) mainly fatty tissue with some scattered areas of dense tissue
c) a mixture of fatty and dense tissue
d) almost entirely dense tissue
To request your breast density information click here to complete a request for information. The request can be mailed or emailed to BreastCheck.
If you have dense breasts and are concerned about your risk of developing breast cancer, you should discuss your personal risk factors with your healthcare provider.
Follow-Up Testing
A mammogram image may show something that the radiologist wants to check with a follow-up test(s). It is normal to be a little scared, but it is important to know that most women who go for further follow-up testing do not have breast cancer.
1- Referral
You will be directly referred to one or more of the following places for additional test(s):
- WRHA Breast Health Centre
- Manitoba X-Ray Clinic
- Radiology Consultants of Winnipeg
- Brandon Regional Health Centre
- Thompson General Hospital
- Boundary Trails Health Centre
- Health Sciences Centre
2- Follow-Up Test(s)
You will be provided with more information about your specific test(s), how to prepare and how you will receive the results by the place to which you are referred.
Most clients who need further testing have one or both of these tests:
A) Diagnostic Mammogram
A diagnostic mammogram experience is very similar to a screening mammogram. The diagnostic mammogram takes a closer look at a specific area of breast tissue by:
- taking x-ray images from different angles than the standard angles in screening mammography,
- applying extra pressure to thin out a small specific area of breast tissue so it can be seen more clearly, or magnifying a specific area of breast tissue.
B) Ultrasound
A breast ultrasound uses sound waves to create an image of the breast. During an ultrasound, a small amount of gel will be placed on your breast. A small probe (wand) will glide over the skin on your breast(s). The image can show if the lump is solid or filled with fluid.
A small number of patients will need a biopsy in addition to a diagnostic mammogram and/or ultrasound. A biopsy removes a small piece of breast tissue for testing. There are two main types of biopsy:
A) Ultrasound Core Biopsy
An ultrasound core biopsy uses a needle to remove tissue for testing when a lump can be felt, or seen on an ultrasound.
- A probe (wand) will be pressed against your breast to create an image and find the area of concern. You will feel some pressure on your breast.
- A small amount of local anesthetic (freezing) is injected into your breast with a needle. You will feel a sting.
- A small cut will be made in the breast area where the tissue will be removed.
- You may hear a click as the tissue samples are collected (biopsy).
- A bandage is placed over the skin opening.
B) Stereotactic Core Biopsy
A stereotactic core biopsy uses a needle to remove tissue when an area is seen only on a mammogram.
- A small amount of local anesthetic (freezing) is injected into your breast with a needle. You will feel a sting.
- You will lie face down on a table and place your breast through a hole in the table. The breast is compressed in a mammography machine. You will feel some pressure in the breast.
- A small cut will be made in the area of the breast where the biopsy needle will be inserted. A sample of tissue will be taken (biopsy).
- A bandage is placed over the skin opening.
Other follow-up that may also be needed can include:
- surgical consultation, or
- magnetic resonance imaging (MRI).
3- Results
After your follow-up test(s), you will be notified by mail if/when you can return to BreastCheck for a screening mammogram. Most clients will have a normal follow-up test result and return to BreastCheck for routine screening. For more information about follow-up tests you can contact:
CancerCare Manitoba, BreastCheck
1-855-95-CHECK (1-855-952-4325)
Breast & Gyne Cancer Centre of Hope
1-866-561-1026
If you have these symptoms...
Know what looks and feels normal for your breasts. See your health care provider if you notice any of these signs or symptoms:
- puckering of the breast tissue
- a change in the nipple
- new or bloody discharge
- change in the size, shape or colour of the breast tissue
- thickened hard skin that feels different than the rest of your breast tissue, or
- a new lump
BreastCheck Mammogram Clinics
We mail you a letter to make a screening mammogram appointment every 2 years starting at age 50. A doctor's referral is not needed. Call 1-855-95-CHECK to make an appointment.
Bring your Manitoba Health Card to all your CancerCare Manitoba Screening appointments. Keep the information on your Manitoba Health card current. This will enable us to send you letters to remind you to get screened for cancer. To learn more, visit the Manitoba Health Card website.
BreastCheck has six clinics that accept appointments year-round. Two BreastCheck clinics are mobile and travel to nearly 90 rural and northern communities on a rotating basis.
Upcoming BreastCheck Mobile Clinics
This tab is updated regularly with upcoming BreastCheck Mobile Clinic information. Site information is released up to 6 weeks in advance. For more information about an upcoming or future site, contact us at 1-855-95-CHECK or email BreastCheck@cancercare.mb.ca
Pine Falls
Roblin
Russell
Rossburn
Find A Mammogram Clinic
All clinics are wheelchair accessible. Make BreastCheck aware of any physical limitations when booking your appointment.
To find a mammogram clinic nearest to you:
- Enter your postal code or town/city name in the space below.
- Click on the magnifying icon to search.
GREY icons = not currently accepting appointments
PINK icons = currently accepting appointments.
BreastCheck Access Support
Group Trips
Communities can coordinate a group of people to attend a BreastCheck clinic at the same time for a series of consecutive appointments. Transportation to and from the BreastCheck clinic must be coordinated by the community/organization. For more information or to schedule a series of consecutive appointments (a.k.a. a group trip), contact BreastCheck at BreastCheck@cancercare.mb.ca
Transportation Support
Northern Patient Transportation Program
The Northern Patient Transportation Program (NPTP) subsidizes medical transportation costs for eligible Manitoba residents in the north to obtain medical or hospital care not available in their home community. Subsidies may include costs for an essential escort if required for a minor or a person with disabilities.
First Nations Transportation to BreastCheck through the Non-Insured Health Benefits Program
The Non-Insured Health Benefits Program offers coverage for travel to BreastCheck sites for registered First Nations clients.
Section 1.3 Medical transportation benefits may be provided for clients to access the following types of medically necessary health services
- publicly funded preventative screening such as breast cancer screening where coordination with other medical travel is not feasible
Clients, with the help of their health centres/nursing stations, are responsible for coordinating their travel through the Non-Insured Health Benefits Program.
Contact
1-855-95-CHECK (1-855-952-4325)
Interpreter services available upon request.
If you would like to promote any of our campaign videos, radio, and social media posts, email screening@cancercare.mb.ca
For more information please contact:
CancerCare Manitoba
Phone: (204) 787-2197
Toll-free: 1-866-561-1026
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