Breast Screening
Breast screening after age 70
The incidence of breast cancer increases with age. About 8 out of 10 cases (80%) of breast cancer cases occur in women over age 50 (Macmillan Cancer Support, 01 October 2023).
The risk of developing breast cancer continues to rise as women get older and is rare in people under 30 years old (see also ‘Breast screening before age 50’).
Currently, the NHS Breast Screening Programme (NHS BSP) invites all women in the UK between 50 and 70 for free breast screening every 3 years.
From 2009-2020 with the AgeX trial, some women aged 47 to 49 and 71 to 73 also received invitations for screening to look at whether to extend the breast screening age range. This trial is looking at starting screening at ages 47-49 and inviting up to age 73 rather than starting at age 50 and inviting up to age 70.
The results from this study aim to be published in December 2031 (Oxford Population Health, 2025).
Although women over 70 are not currently routinely invited for breast screening, they are encouraged to call the local unit to request breast screening every 3 years. Women are given cards at their final routine breast screening appointment to help them remember to book (for more information see 'Resources').
Ideas about breast screening over age 70
Some older women we spoke with attended routine mammograms every 3 years. A 75-year-old said she asked to be routinely invited after the age of 70 because women were still at risk of getting breast cancer, and any breast problems would be detected and treated early.
One 72-year-old woman, who wasn't sure when routine invitations stopped, said she'd continue having mammograms, especially because she'd been recalled on one occasion. For her, this experiences stressed the importance of attending.
Another woman, aged 69, said that she'd 'always attended for breast screening in case there were any breast problems', and would continue attending as long as she was fit.
She chooses to have breast screening after 70 because women are still at risk of getting breast cancer.
She chooses to have breast screening after 70 because women are still at risk of getting breast cancer.
Well when I did ring them up because the centre is on the Rope Walk here and I said I would like to continue the screening, perhaps at 65 I can't really remember when I had the last regular one. I think they said 'Well there won't be any more after you're 65', or 70, I really can't remember, I think it might have been 65.
It used to be 64.
Something like that. She says 'Well you can be on a list where we will call you if you request it?' So I said 'Yes, I'd like that, I'd like to come back regularly and just be screened.' You can get this horrible thing at any age, I don't see why they stop then, I suppose its money and time and all the rest of it. But anyway I think they do call me back now. And I still say 'Please will you recall me, you know every three years for continuous screening.'
But I haven't, touch wood, had any problems, but I do still go. And I request to go. I think people over 70 need to request a recall every three years isn't it? Because I think it's important, I think its extremely important to get these things seen to in the early stages with everything, every illness.
She always attends for breast screening and will continue to do so until she's no longer fit enough.
She always attends for breast screening and will continue to do so until she's no longer fit enough.
Yes. If you want to, you can go again?
Yeah, yeah.
So you would want to keep on going?
Oh yeah as long as you can go because I mean it don't matter how old you are really, I still think you're, you ought to go. Unless I got to that stage where I couldn't go [laughs] I got too old then probably you know. But I will go, yeah.
They gave me a green card this time, August 2003 and then it's got August 2006.
Is that your next appointment?
Yeah I think I've got to ring them up. But then when I got this letter it was saying something and that's when I rang up and I couldn't get through to anybody. But I might ring it up again and just say well they're not going to write to you, that's all it is, but I want to know when you've got to ring them up about it.
So even though you're 70 you want to carry on?
That's it, yeah
And have mammograms every three years?
Yeah, yeah.
Why do you want to carry on?
Well in case there is anything any time [laughs].
Many women didn't know how long they would be routinely invited for breast screening, and several were confused about it. One woman said she was 'very pleased' to learn that women over 70 were still eligible for free mammograms and felt that this information should be made clearer.
Some other women in their 50s and early 60s also said that they would want to continue having routine mammograms after age 70. Many said it would be 'reassuring' to know they were 'fit and healthy', and that any breast problems would be detected early (see 'Reasons for attending breast screening').
Some British Chinese women under 70 said they wanted to continue having routine mammograms every 3 years but had received no information about screening for some years. They would have liked more information on breast screening and breast cancer available in Cantonese (see 'Information').
Ideas about breast screening over age 70 after breast cancer
Some people we spoke to had had breast cancer. One of these people encouraged women to go for screening afte age 70, as older women were still at risk of getting breast cancer. She stressed that mammography was 'quick and saved lives'.
Many women who'd had breast cancer said they'd continue having mammograms after they were 70 and until they were no longer fit enough to do so.
Some women, who'd had routine mammograms done privately, said they'd continue with breast screening privately after they were 70. One woman who'd had breast cancer said she'd have routine mammograms after age 70 if her doctors advised it and said she would be reassured by continuing with regular breast screening after this age.
She encourages women to attend for screening after 70 as they are still at risk of getting breast cancer.
She encourages women to attend for screening after 70 as they are still at risk of getting breast cancer.
At the moment I think the ceiling is 60 for mammograms but that is now being extended to 70. But if it hasn't in your area yet reached 70, there will be a number that you can get from NHS Direct where you can phone and refer yourself if you are over 60. If you're over 70 and you can still do that because some ladies think that because after, because the mammograms stop at 60 or 70 they're no longer at risk. But, unfortunately, the older you get the more at risk you are so because you're 70 don't think you're not at risk. So please, take these mammograms, it's only a few minutes pressure on your breast. It's only 10 minutes to go through the whole process and it's a life-saver and it could save you so much grief so please, please do have it.
She'd have routine screening after 70 if her doctors advised her to and says that it would be reassuring.
She'd have routine screening after 70 if her doctors advised her to and says that it would be reassuring.
I would follow what the programme sort of suggested because I think, if I'd been sort of 15 years clear at that time, then, you know, I would accept that probably my risk is no greater than anybody else's at that time and do whatever the programme suggested. I'm very much a, I'll follow medical advice, I'll question it if I feel the need to [laughing] but, you know, you're not the expert in everything; you have to listen to what the experts say sometimes.
If they say it's up to you after the age of 70 whether you want to go for 3 yearly mammograms or not, would you want to continue?
Oh, probably. I think there's probably that prop needed that says, you know, just like that little bit of reassurance that....
Some women were unsure whether they'd attend for routine screening after they were 70. Several said they probably would attend for as long as they were still fit and healthy.
A few said they would check with their GP first, while others felt they wouldn't attend if they'd had no breast problems up until then but stressed that it was 'still important to be breast aware'.
One of the women we spoke with wondered if breast cancer developed more slowly after age 70. Several women felt that after the age of 70 other health problems were more likely to affect them than breast cancer.
She wouldn't attend for screening after 70 if she's had no breast problems before then.
She wouldn't attend for screening after 70 if she's had no breast problems before then.
Yes. Yes.
And you will be invited up until the age of 70 now?
Yeah.
After the age of 70 it's up to you whether you would want to go. In your case, would you want to go, or'?
I probably wouldn't. I probably wouldn't no. If I had not any problems up until 70, which is now another ten years, another three goes I suppose, I don't think after 70 I would, no.
OK. And your reasons for that would be you've been fine up until then?
I've been fine up until then, I understand, I'm not sure if this is fact, but the older you get the slower the development and growth rate of these things are. So I would probably continue to do self-checks, but I, and I think that I would just leave it at that.
See also 'Breast screening before age 50'.
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