Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Steven Doerr, MD, is a U.S. board-certified Emergency Medicine Physician. Dr. Doerr received his undergraduate degree in Spanish from the University of Colorado at Boulder. He graduated with his Medical Degree from the University Of Colorado Health Sciences Center in Denver, Colorado in 1998 and completed his residency training in Emergency Medicine from Denver Health Medical Center in Denver, Colorado in 2002, where he also served as Chief Resident.
Although breast cancer may occur in males and females, most breast cancer screening has been directed toward females. Breast cancer is the second leading cause of cancer-related deaths in women (behind lung cancer) and the most common cancer in women. A number of screening tests have been developed to try to diagnose this disease at an early, and thus more treatable, stage. The
three main tests are breast self-examination, breast examination by a health care professional, and mammography.
Breast self-examination: This is a simple, cheap, and easy-to-perform test. The American Cancer Society recommends that women should examine their breasts once a month starting at 20 years
of age. The breast self-examination should be performed in the week after the menstrual cycle, at which time the breasts are least likely to be sore or swollen. Any new lump, discharge, sore, skin changes, or other anomalies should be brought to the immediate attention of your doctor.
Breast examination by a health care professional: It is widely agreed that all women over 40 years
of age should have annual breast examinations by a health care professional. For women at increased risk,
such as those with a strong family history, this should probably start earlier, at 35 years
of age. Between 20 and 40 years of age, women should have breast examinations performed at least every
Mammography: This technique uses
X-rays to take highly detailed pictures of the breasts. Very small lesions can be detected using this technique. Most experts recommend that women over 50 years
of age have this procedure at least every year. The screening of younger women is much more controversial. Most experts agree that mammography should be performed every other year for women between 40 and 50
years of age. If there is a family history, then this should start earlier, at 35 years
of age. Because of the range of opinions among experts, it is probably best for women between 35 and 50 years
of age to discuss their options with their doctors, and then come to a decision together, taking into account factors such as family history and your own medical history.