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Patient Education

Breast Health / Breast Disease

Thoughtful, personalized breast health screening to catch changes early and give you lasting peace of mind.

Symptoms & Warning Signs to Watch For

Most breast changes are benign, but these signs warrant a prompt clinical evaluation:
  • A new lump or thickening in the breast or underarm
  • Changes in breast size, shape, or contour
  • Skin dimpling, puckering, or redness
  • Nipple discharge, inversion, or scaling
  • Persistent breast pain in one specific area

Causes & Risk Factors

Several factors can raise your breast cancer risk and help shape your screening plan:
  • Family history of breast or ovarian cancer
  • Inherited gene changes such as BRCA1 or BRCA2
  • Increasing age, with most cases after age 50
  • Dense breast tissue on prior imaging
  • Early menstruation or late menopause
  • Prolonged hormone therapy or lifestyle factors like alcohol use

How Dr. Golian Manages Breast Health

Your care begins with a thorough clinical breast exam during your comprehensive physical, along with a review of your personal and family history to gauge your individual risk.

Dr. Golian arranges and coordinates your screening mammograms and, when indicated, additional imaging or genetic testing. If a finding needs further evaluation, she facilitates timely specialist referral and subspecialty coordination, so nothing falls through the cracks.

Staying Proactive Between Screenings

Knowing how your breasts normally look and feel makes it easier to notice changes early, so report anything new to the office promptly.

A healthy lifestyle with balanced nutrition and regular activity, limited alcohol, and not smoking all support long-term breast health and your overall cardiovascular wellness.

Frequently Asked Questions

1When should I start getting mammograms?
Most women at average risk begin screening mammograms between ages 40 and 50, but the right timing depends on your personal and family history. Dr. Golian will recommend a schedule tailored to your individual risk.
2How often should I have a clinical breast exam?
A clinical breast exam is typically part of your routine wellness visit. Dr. Golian performs one during your comprehensive physical and adjusts the frequency based on your age and risk factors.
3I found a lump but feel fine. Should I be worried?
Most breast lumps are benign, but any new lump should always be evaluated promptly. Contact the office so Dr. Golian can examine it and arrange imaging if needed.
4Do I need genetic testing for breast cancer?
Genetic testing such as BRCA screening is usually considered when you have a strong family history of breast or ovarian cancer. Dr. Golian reviews your history and refers you for testing and counseling when it's appropriate.
5Where will my mammogram be done?
Dr. Golian refers you to Cedars-Sinai or another trusted Los Angeles imaging center based on your preference — many patients feel strongly about where they have their imaging done — and coordinates specialist follow-up, including at Cedars-Sinai, when further evaluation is needed.

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Take Charge of Your Breast Health

Schedule a visit with Dr. Golian to build a personalized breast health and screening plan that fits your life and your risk.

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Medical Disclaimer

The information on this site is for general educational purposes only and is not medical advice, diagnosis, or treatment. Reading this site does not create a doctor–patient relationship. Always consult a qualified healthcare professional for personal guidance. If this is an emergency, call 911. Mentions of medications, devices, or procedures are informational and not endorsements. Full medical disclaimer.

†Some listed indications involve investigational/off-label use. Learn more.