Tuesday , August 9 2022

The mammographic guidelines take up preference, not only age


• Women 40-49:The task force recommends against screening, but if women have a mammogram, it should discuss with her healthcare provider to potential harm and benefits related to its age group.

Those in 40s face a higher risk & # 39; damage from false positives, over diagnosis and over treatment, compared with & # 39; a & # 39; other age groups. But the benefit is smaller: it stopped just one cancer death per 1,700 breast woman having a mammogram, compared with & # 39; one death per 645 woman & # 39; aged between 70 and 74 who are screened.

• Women from 50-74: The Task Force recommends that women in & # 39; this range & # 39; age to get mammograms every two or three years. This advice is also conditional, as some women may choose not to be screened if they are concerned about sovranjożi and associated damage.

• M & # 39; there is no recommendation & # 39; screening for women & # 39; 75 years or older, and the guidelines do not apply to women & # 39; high risk, such as carriers of BRCA1 & # 39; BRCA2 genetic mutation.

Moore said that over-diagnosis is & # 39; major concern to x & # 39; intersects with cancer nature: some of them are tumors that grow slowly, while others are more aggressive and progress with & # 39; fastest.

"The issue is that these slow growing cancers and fekruni be found at screening, but they do not cause symptoms in a woman's life. They do not become palpable lumps … certainly not cause death "he said.

"The challenge is that doctors can not say at the time they were diagnosed which of these cancers will move & # 39; forward and will not so. Therefore the tendency is to treat all … because the consequences of & # 39; failure & # 39; treatment may also be significant.

"And so those are the issues facing women. These are the issues facing doctors."

These Stacey, a senior scientist at the Research Institute Hospital & # 39; Ottawa, welcomed the advice changed women. "I am excited about this new line to actually guide acknowledging women's preferences.

"The guidelines hitherto directives, so said this is what you do", she said. "The new guidelines coming out saying that this is what we propose, but we really do not discuss it & # 39; women in both & # 39; age groups."

So if you have a mammogram is important for a woman in her 40s, said Stacey, "then that is OK."

The guidelines are published in the Journal of the Canadian Medical Association and can be accessed online.

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