Québec breast cancer screening programme (PQDCS)
Context
What is a mammography?
A mammography is a breast x-ray taken by a radiology technician to detect small lesions in the breasts.
Why have a screening mammography?
One woman out of every nine develops breast cancer over the course of her life. To detect a lesion early, before it can be felt, Canadian and American experts recommend having a screening mammography on a regular basis, that is, every two years after age 50. Detecting cancer early increases the chances of survival and successful treatment.
What is the PQDCS?
Since 1998, Québec has had a free screening programme for all women aged 50 to 69, who receive a letter every two years asking them to arrange for a mammography at a designated screening centre.
The letter you receive acts as a prescription. It will be signed by a doctor, Montréal's Director of public health, and you will be able to make an appointment at a designated screening centre in Montréal right away.
Your doctor will be notified that you have gone for your test and will receive the results directly. You will also receive your test results at home.
For more information on the programme, mammographies and the screening procedure, please read the PQDCS FAQ and the programme brochure available in several languages:
Practical advice
Whom should you contact to get help?
PQDCS women's information line: 514-528-2424
E-mail: pqdcs06@santepub-mtl.qc.ca
Contact the Montréal PQDCS team if
- you have any questions about the Programme;
- you are looking for a clinic where you can have your screening mammography;
- you need information on additional tests;
- you have lost or not received your letter; or
- you have not received your results within a month of your test.
Where are the designated screening centres located and how do I get there? See the list of screening centres.
Can I have my mammography elsewhere than in a designated screening centre (CDD)?
No. Radiology centres have been designated for screening mammographies because they can guarantee a level of quality that meets screening programme standards, which cover the radiology equipment, training of technicians and radiologists’ experience. In Québec, they are the only places where breast cancer screening tests are free. Fifteen Montréal radiology clinics have been designated as screening centres by the Ministère de la Santé et des Services sociaux.
What do I need to do when I call a CDD to make an appointment?
Have your health card with you. Keep in mind the date on which your last period started. Don’t forget to mention any particular situations or special needs you may have: a disability, breast implants, painful breasts, etc. This information will help the CDD better meet your needs.
What do I have to do on the day of my appointment?
- Don’t put perfume, powder, cream or deodorant on your underarms or breasts. These products can distort mammography results.
- Wear a two-piece outfit, or pants or skirt and a top. It will be easier for you to get undressed to have the mammography.
- Bring your medical prescription or letter of invitation with you, as well as your health card.
- If you have had tests elsewhere than in this CDD, you must get your films and bring them with you. If it is difficult for you to get them, tell the person when you make the appointment. The CDD cannot refuse to do the mammography if you don’t have them. However, it may take longer to read your mammography because the radiologist must compare it to previous films to make a diagnosis.
What are the chances that my mammography result will require additional tests?
About one out of ten women will have to undergo additional tests. This does not mean that you have cancer. These tests may be x-rays to obtain better defined images than those initially obtained. Sometimes ultrasound tests are suggested. In most cases, these extra exams will confirm that there is nothing serious. Additional tests are done free of charge in designated assessment centres (CRID). Some designated screening centres also do additional tests, but they may charge for such things as ultrasounds.
What should I do if I don't have a family doctor?
When you go for your test, you will be shown a list of doctors who are participating in the programme. The doctor you choose will receive your results and contact you if additional tests are necessary.
Where can you find additional, credible information?
Visit the official site of the PQDCS for more information on the programme.
The following organizations can also provide you with support:
