Widespread screening for breast cancer didn't do much to save women's lives, study finds
Breast cancer deaths have declined markedly in the Netherlands since a nationwide screening program began in 1989, but mammograms deserve little — if any — of the credit, a new study suggests.In fact, the main impact of inviting Dutch women between the ages of 50 and 74 to get a mammogram every...
ConclusionsUltrasound evaluation may be the first level exam in case of suspicious symptomatic breast implant rupture. Importantly, our results demonstrate that magnetic resonance imaging could be avoided in all those cases where an extracapsular rupture has been diagnosed using ultrasound.Level of Evidence: Level IV, diagnostic study.
CONCLUSION: This study provided a novel simple tool to estimate breast volume in patients. Advances in knowledge: This may aid in planning cosmetic outcome and oncoplastic approaches in breast cancer and breast reduction surgery. PMID: 30028189 [PubMed - as supplied by publisher]
DiscussionThe findings underscore the importance of the relationship between the patient and clinician and the necessity of spelling out each step in the SDM process. The clinician needs to be explicit in telling a woman that she has a choice about whether to get a mammogram and the benefits and harms of screening mammography. Finally, clinicians need to be aware of sociocultural factors that can influence their relationships and their patients ’ decision-making processes and attempt to identify and address these factors.
For many women over 40, a yearly screening mammogram to check for breast cancer is a fact of life ? along with the anxiety of waiting for the results. But what if you could get a test that offered better cancer detection, fewer false positives and more peace of mind? Dr. Robert Maxwell, a Mayo [...]
Publication date: August 2018Source: The Lancet Global Health, Volume 6, Issue 8Author(s): Jeanette K Birnbaum, Catherine Duggan, Benjamin O Anderson, Ruth EtzioniSummaryBackgroundPoor breast cancer survival in low-income and middle-income countries (LMICs) can be attributed to advanced-stage presentation and poor access to systemic therapy. We aimed to estimate the outcomes of different early detection strategies in combination with systemic chemotherapy and endocrine therapy in LMICs.MethodsWe adapted a microsimulation model to project outcomes of three early detection strategies alone or in combination with three system...
CONCLUSIONS: These findings provide information on motivation and barrier factors that may influence women's decision to participate in opportunistic breast cancer screening. Those factors have changed over time and the role of physicians has increased significantly. Further exploration of motivating and barrier factors and the extent of their association with actual women's behavior would be helpful for the development of interventions to improve organized and opportunistic screening participation. PMID: 30003740 [PubMed - in process]
Follow-up imaging for women with nonmetastatic breast cancer varies widely...Read more on AuntMinnie.comRelated Reading: Early breast cancer screening = less-extensive treatment Would risk-based breast screening be more cost-effective? Breast cancer studies overlook socioeconomic factors Breast cancer survivors don't get regular mammograms Should early-stage breast cancer patients receive CT?
This study was HIPAA compliant and IRB approved. We performed an electronic medical record review for a cohort of women with American Joint Committee on Cancer (AJCC) Stage I or II invasive breast cancer treated with breast conservation therapy who developed subsequent in-breast treatment recurrence (IBTR) or contralateral breast cancer (CBC). Poor surveillance outcome was defined as second breast cancer not detected by surveillance mammography, including interval cancers (diagnosed within 365 days of surveillance mammogram with negative results) and clinically detected cancers (diagnosed without a surveillance mammo...
(University of California - San Francisco) Follow-up imaging for women with non-metastatic breast cancer varies widely across the country, according to a new study led by researchers at UC San Francisco. Some patients go without the annual mammograms that experts recommend, while others with the same cancer diagnosis receive full-body scans that expose them to significant amounts of radiation and are not recommended by experts.
Regular breast cancer screening with mammography for younger women translates...Read more on AuntMinnie.comRelated Reading: Mammography screening should consider radiation risk Would risk-based breast screening be more cost-effective? Breast MRI underutilized in high-risk women Critic calls JAMA study on mammo screening 'inadequate' Mammography compliance leads to other screening tests