you detect it through mammography &/or breast ultrasound, we usually do these images after the age of 40, or 10years before the onset of diagnosis in the first degree relatives .
you can always do manual exam by yourself at any age, and if you feel any lump or breast discharge, you should consult your doctor.
Mainly, we recommend the mammograms starting a certain age (depends on the person, usually at 40-50 years), IN ADDITION to breasts check by your doctor during your regular annual visits. We start mammograms earlier if people are at higher risk (mainly presence of family history).
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It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.