Almost 7,000 Tennesseans will be diagnosed with breast cancer in 2025. But when caught early while still localized in the breast, the 5-year survival rate is 99% for the most common breast cancer types.

“Breast cancer screening isn’t just a medical appointment — it’s a powerful step toward protecting your health and your future,” says Dr. Linda M. Pate, a medical director at BlueCross BlueShield of Tennessee. “Taking the time for a mammogram could save your life.”

Why regular breast cancer screening matters

Dr. Pate: Breast cancer is common, but early detection saves lives. When found early, treatment is often simpler and more successful. Screening can help catch cancer before symptoms appear, often when it’s most treatable.

Early detection often means:

• Less aggressive treatment
• Lower chance of spreading
• Better recovery and quality of life

When should women get breast cancer screenings?

Dr. Pate: The American Cancer Society and National Comprehensive Cancer Network recommend:

For women at average risk:

• Ages 40-44: Option to start annual mammograms
• Ages 45-54: Annual mammograms recommended
• Ages 55+: Every 1-2 years, based on health and preference

Women at higher risk may need earlier or more frequent screenings. These can include starting annual mammograms at age 30 or starting breast MRIs between ages 25-35.

Higher risk individuals are those that:

• Have a BRCA1 or BRCA2 gene mutation
• Have a strong family history of breast cancer
• Had radiation to the chest before age 30
• Have dense breast tissue or other risk factors

Breast cancer screening methods

Dr. Pate: Several screening methods are available:

• Mammogram: Low-dose X-ray and the most effective tool
• 3D Mammogram (Tomosynthesis): Better for dense breasts and now widely used
• Breast MRI: Used for high-risk women
• Ultrasound: Often used to follow up on abnormal findings

What to expect during a mammogram

Dr. Pate: A mammogram takes about 20 minutes:

• Your breast is gently compressed for clear images
• You may feel pressure, but it’s brief
• Results usually come within a few days

Don’t apply lotions or deodorants before the test. They can interfere with the imaging and result in false positives. If something looks abnormal, you may be called back for more imaging, like an ultrasound or MRI. Sometimes a biopsy is needed to check for cancer. Most callback results are not cancer, but follow-up is important.

“If you’re 40 or older, or younger with certain risk factors, talk with your doctor about when to start screening,” Dr. Pate says. “You matter. Your health matters.”

WellTuned: 8 facts you need to know about breast cancer

Get more information about specific health terms, topics and conditions to better manage your health on bcbst.com. BlueCross BlueShield of Tennessee members can access wellness-related discounts on fitness products, gym memberships, healthy eating and more through Blue365®. BCBST members can also find tools and resources to help improve health and well-being by logging into BlueAccess and going to the Managing Your Health tab.