Skip to main content

Mammograms in 35-year-old to 39-year-old symptomatic patients


Currently, in our institution, all women presenting at the Triple Assessment Symptomatic Breast Clinic over 35 years of age undergo two-view mammograms. Recent recommendations suggest that mammograms should only be performed above the age of 40 [1]. We reviewed our patients to see whether changing our policy would have resulted in any missed cancers.


All patients on our Breast Cancer Database diagnosed between April 2002 and March 2012, aged between 35 and 39 years at diagnosis, were identified. Patient records were reviewed to determine how the cancer was diagnosed and treated.


Fifty-one patients were identified; 11 were diagnosed elsewhere, and therefore excluded, and one was screen-detected and also excluded. Of the remaining 39 patients, one patient was male. In 33/39 (84.6%) patients, ultrasound was performed of a palpable lesion and mammography did not add any additional diagnostic value. Of the remaining six patients, three had obvious clinical signs of malignancy. The remaining three patients had malignancy diagnosed as the result of their mammograms. Two (5.1%) had mammographic microcalcification due to intermediate-grade DCIS and one patient had an impalpable cancer, seen on the mammogram, which prompted the diagnostic ultrasound.


In our institution, over a 10-year period, two cases of intermediate-grade DCIS and one case of Grade 2 invasive ductal carcinoma would have been missed if routine mammography had not been performed in the 35 to 39 year age group.


  1. Best Practice Diagnostic Guidelines for Patients Presenting with Breast Symptoms. Edited by: Willett AM, Michell MJ, Lee MJR. 2010, London: Department of Health

    Google Scholar 

Download references

Author information

Authors and Affiliations


Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Reprints and Permissions

About this article

Cite this article

Lim, K., Young, P. Mammograms in 35-year-old to 39-year-old symptomatic patients. Breast Cancer Res 14 (Suppl 1), P62 (2012).

Download citation

  • Published:

  • DOI: