This guide explains when and how to screen, who should get screened, and how often, based on Singapore’s national guidelines and clinical best practices.
Why Is Breast Screening Important?
Breast cancer often develops without noticeable symptoms in the early stages. By the time a lump is felt, the cancer may already be advanced. Screening allows for early detection, improving survival rates and reducing the risk of dying from breast cancer by up to 40%.
Types of Breast Screening
1. Mammogram (X-ray of the breast)
Our radiographer will assist you in positioning during your mammogram:
- The gold standard for breast cancer screening
- Detects tumours before they can be felt
- Most effective in women aged 50 and above
- May be less sensitive in younger women with dense breast tissue
Our mammogram service is available at $98.
A surcharge applies for women with breast implants due to the need for additional imaging and positioning.
2. Breast Ultrasound
During a breast ultrasound, our sonographer will use a hand-held transducer to get images of the inside of your breast.
- Uses sound waves to visualise breast tissue
- Often used in younger women (<40 years) or those with dense breasts
- Helps differentiate solid lumps from cysts
- Commonly used alongside mammograms for enhanced screening
Our breast ultrasound service starts from $120.
Mammograms and ultrasounds can be safely performed for individuals with breast implants. Additional views will be taken to ensure adequate imaging of the breast tissue surrounding the implant.
Breast Screening Guidelines in Singapore
Women Aged 50–69 (Average Risk)
- Screening mammogram every 2 years
- Strongly recommended under BreastScreen Singapore (BSS)
- Eligible for MOH-subsidised screening at polyclinic (our doctors are happy to refer you if you are eligible)
Women Aged 40–49 (Average Risk)
- Annual mammograms can be considered after consultation
- Screening is individualised based on benefits and risks
Women Under 40
- Routine screening not generally recommended unless at higher risk
- Ultrasound breast screening may be advised if symptoms are present or in those with a strong family history
High-Risk Categories
You may be at higher risk for breast cancer if you:
- Have a family history of breast or ovarian cancer
- Carry a BRCA1 or BRCA2 gene mutation
- Have had breast cancer previously
- Received chest radiation (e.g. for lymphoma) before age 30
For high-risk women, annual screening starting at age 30 using a combination of mammograms and ultrasounds or MRI may be recommended.
Symptoms That Require Immediate Medical Attention
Breast screening is intended for women without symptoms. If you notice any of the following, seek medical advice promptly:
- New breast or underarm lump
- Changes in skin (dimpling, redness, thickening)
- Nipple discharge, inversion, or rash
- Persistent breast pain
Are Breast Screenings Safe?
Yes.
- Mammograms use low-dose radiation and are quick, typically taking 20-30 minutes.
- Breast ultrasounds are radiation-free and painless.
For women with breast implants, special mammography techniques—known as “implant displacement views”—allow accurate imaging while minimising risk. A surcharge applies for this additional imaging. Our female radiographers are happy to assist you with this imaging procedure.
Summary: When and How Often to Screen
| Age Group | Screening Method | Frequency | Notes |
| 40–49 | Mammogram | Annually | After consultation with a doctor |
| 50–69 | Mammogram | Every 2 years | National screening guidelines |
| <40 (High Risk) | Mammogram + Ultrasound | Annually or as advised | Based on personal/family history |
| <40 (Low Risk) | – | – | Screening not routinely required |
Book Your Breast Screening Today
At our clinic, we offer:
- Mammograms at $98 (surcharge applies for patient with breast implants)
- Ultrasound Breast Screening from $120
- Same-day appointments (subject to availability)
- Female radiographers available upon request
- Comprehensive breast evaluations with expert follow-up care
Early detection saves lives. Whether it’s your first screening or a regular check-up, our team is here to guide you.
References
- Health Promotion Board Singapore. (2022). BreastScreen Singapore
- Ministry of Health Singapore. (2023). MOH Clinical Practice Guidelines on Breast Cancer Screening
- Myers, E. R., et al. (2015). Benefits and Harms of Breast Cancer Screening: A Systematic Review. JAMA
- Siu, A. L. (2016). Screening for Breast Cancer: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med
