This study may have shown that mammograms don't help women over 50, but I was 52 when a mammogram discovered my cancer 11 years ago. In those 11 years two granddaughters have been born and a grandson is on the way. I would never have seen these babies had my cancer not been treated; and it wouldn't have been treated if it hadn't been found. I thank God that my doctor never told me I didn't need mammograms after 50.
That study is a bunch of garbage... My Mom (age 70) gets regular mammograms and last year it found a small bunch of "flecks" and had her rechecked in May of this year. The 2nd recheck showed a big mass "golf ball size" and she ended up with a mastectomy and the cancer was stage 2, and thank God it didn't spread to her lymph nodes.
If we were to follow this stupid rules of every 2 years, my Mom may not be around today...
So I will continue to go every year!!! Amazing how insurance will pay for Viagara, but not want to pay for yearly mammograms..
Derse-What kind of BC did you have? Some BC grows so slowly, that you can die of natural or other causes before the cancer kills you. The Dutch found this out in a recent study.
Looks like, though, the American Cancer Society is going to stick by their recommendations no matter how many European or International studies prove otherwise. The want to make sure the medical profession has many ways of getting into our pockets.
Deborah - the problem is that there is no current way of knowing if the tumor YOU might have is one of those "slow-growing" ones. So while this might be true that some tumors are slow-growing, women are still risking missing the cancers that are NOT slow-growing if they don't have regular mammograms. I'm not personally willing to take that chance. If you are, good for you.
The makers of x-ray machines lied to women that these detection devices would extend their lives. Now that a few decades of data have been corrected, the x-ray makers lied.
No the drug companies that are financing this under the disguise of a news item are lying. Mammograms have saved lives of many women something some men do not realize.
This study was done in Norway. The population is different there. It is more uniform. Black women have more aggressive breast cancers for indefinite reasons and other subgroups in the U.S. very likely do too. This article is commented on by an editorial that argues that mammography was better before 1990 than it is today. That is just not true. Today's machines are better and cause less radiation exposure. A separate study from a publication by the American Society of Clinical Oncology reported on the incidence of breast cancer in the New England states. 25% of the women diagnosed with breast cancer were under the age of 50. This was a recent study. Breast cancer in women under 50 is, in general, a more aggressive and deadlier disease, therefore it will save fewer lives than in women over 70. There really are not many breast cancers that can just be observed.
As far as blaming the drug companies, they have nothing to do with mammography. The medical equipment companies represent a different group altogether. Their profits have been as high or higher than the drug companies' profits for the last year, although they both have been in the top 20.
Find the article. It argues AGAINST having mammograms under the age of 50. My opinion is that is a dangerous recommendation, but the editorial was written by one of the doctors on the FDA committee that recommended against routine mammograms under 50. One could argue that she is being rewarded by the FDA to make this recommendation. Maybe the FDA is behind this, or maybe the doctor writing the editorial is just defending her position. A lot of experts in breast cancer have been very critical of that FDA committee and I don't believe they are doing it for personal gain. In fact, chemotherapy is NOT given to the earliest stage breast cancers, like carcinoma-in-situ or even invasive cancers up to 1cm. in size in some cases. That means that if the doctors really wanted to treat more patients with breast cancer that it would be to their advantage to not do mammograms.
I do not do mammograms or own a mammogram machine so I do not have a special interest in making profits from them. It is always discouraging to see people post comments about not treating cancer, or placing blame on the wrong people. A study done in Norway may be dead-on when it comes to that uniform group of mostly Scandanavian extraction but it could be "deadly-on" if too much credence is given to it when carrying the idea to the U.S.
I don't care what the research shows. Early detection means a better chance of surviving cancer. I will continue to get yearly mammograms regardless of what these scientists say.
Smlfry2 wrote "I will continue to get yearly mammograms regardless of what these scientists say."
Why did you listen to the scientists that told you to get the exams? Why do you trust old recommendations that did not have decades of results to new data based on decades of results?
I bet if a doctor told a woman that the mammogram would probably do little to extend her life but definitely increased her chance of cancer due to x-ray exposure, fewer women would stick their breasts in the machines.
I have 'fibrocystic breast tissue' - a.k.a. 'lumpy bumpy boobs' - and have been getting mammograms since age 27 after a benign lump was found. Until age 40 I got a mammo every 3 years. From age 40-50 every other year. At age 50 a lump was seen on my mammo that was biopsied and found to be cancer. The surgeon, with all her years of experience, could not feel the lump with her fingers and had to use the ultrasound machine. Comparing the 2008 digital mammogram with my 2007 digital mammogram, she assured me THE CANCER WAS NOT THERE IN 2007. In 12 months I had gone from zero lump to one that ended up being 4.4cm. The cancer had spread to 2 of my lymph nodes. There is no breast cancer in my family. No cancer at all. Had I not gotten my mammo when I did I would not have survived. It seems $100-$150 is a small price to pay to catch cancer early when it is most survivable. I have an 80% chance of living a 'normal life span'. Patients with breast cancer that is caught before it reaches the lymph nodes have a 90%-99% chance of living a normal life span. I know, I work in clinical research for a major hospital. Mammograms save lives and potentially, money. My treatment (surgery, chemo & radiation - 51 weeks in all) cost over $250,000.
Women, and those who love them, need to fight this new effort to scale back screening as a cost saving measure. Nationalized heath care at its finest is not going to save our lives.
Women, and those who love them, need to fight this new effort to scale back screening as a cost saving measure. Nationalized heath care at its finest is not going to save our lives.
This is EXACTLY what this is about. These test balloons in the media seem to be getting launched every few months now.
Only a third of the reduced risk of death credited to breast cancer screening is actually deserved — the rest is due to better treatment and greater awareness of the disease, a large study in Norway found.
And what a load of horse manure this is. Because nobody's getting "better treatment" until the cancer is detected - usually via mammogram. The fibrocystic breast tissue that BAnn refers to in her post is VERY common. I have it too, as do loads of my friends and family members. It is almost impossible to do self-exams when you have this kind of breast tissue. Regular mammograms - in conjunctions with ultrasounds - are the only effective and reasonable cost-effective methods we currently have to detect these cancers. I'm not stopping my yearly exams.
And how about the "greater awareness"? Yes, greater awareness means more women are getting regular mammograms, catching problems earlier and resulting in better outcomes for them.
BAnn-I'm not an expert in math, but sounds like you had at least 10 mammograms before the cancerous lump was found. Gee, that's a lot of radiation. Especially the earlier mammograms that delivered a higher dose. You never said what kind of breast cancer you were diagnosed with.
VincentDenali and Deborah-373267 make the point that mammography may cause the development of breast cancer over and over in their posts but in someone who has severe fibrocystic disease it is very hard to distinquish a 1cm. cancer from a cyst. Fibrocystic breast disease does not increase a person's risk of developing breast cancer but, as fiscal... states, it makes it very hard for a person doing breast self examination or a doctor doing an examination to find an early breast cancer.
Whether or not the mammogram caused the cancer is a moot point once it is there. To not have the mammograms means running the risk of later detection and higher likelyhood of the cancer spreading.
In regards to the cancer in and of itself, if the breast cancer was caused by numerous mammograms then that would suggest that there was NO CANCER present before the patient began mammogram screening; therefore, the radiation exposure CAUSED the CANCER; consequently, if there had been NO mamograms or mammograms every two or more years there is a very good chance there would "never" have been any "cancer" to find. Also, mammograms MISS 30% of cancers or more depending on the hospital or clinic and the radiologists skill at reading mammogram images. Fibrocystic breasts only make matters worse; therefore, I find it hard to believe your doctor hasn't sent you for Breast MRI's which would be much more comfortable, safer and more accurate for you. If your doctor hasn't suggested it you should demanded Breast MRI's which would be much safer for someone with your situation rather than playing russian ruillet with your conditon and mamograms which are not entirely accurate to begin with. (you should really google mammogram & Breast MRI images and see the difference for yourself) Most health insurance providers will cover Breast MRI's with a doctor's referral if your doctor won't go along with MRI's find another one who will. I went through the hassle of fighting for Breast MRI's myself because as I stated a few posts down I want nothing to do with the radiation exposure from mammograms and when my aunt was hurt in a mammogram unit that just sealed things for me. The fight wasn't pretty with my former gynecologist having a temper tantrum or the search for a gynecologist who would see eye to eye with me, but the MRI's are worth the aggravation believe me.
How do you prove that the breast cancer was caused by the mammograms? It may have developed de novo. That is the problem with any cancer, with rare exceptions, such a mesothelioma. Do we know that MRI's will not cause cancer? No. They make protons release energy in the form of photons. Furthermore, I know patients who have had MRI's who later got cancer. Was that the fault of the MRI? Probably not, but prove it.
Magnetic Resonance Imaging (MRI) uses a powerful "Magnetic Field","Radio Frequency Pulses", and a computer to create detailed images of organs, soft tissues, bone, etc.
A Photon is a particle of "Electromagnetic Energy (light)" which is a totally different form of radiation then that used for ct scans, x-rays, and mammograms.
CT scans, X-rays, & Mammograms use "IONIZING RADIATION" which is created with the splitting of an ATOM which is the same reaction used to detonate a "NUCLEAR WEAPON"such as the A-bomb's dropped on Hiroshima and Nagasaki in WWII. This type of radiation is very toxic to human life and the effects of this radiation are "CUMULATIVE"
Concerning the patients you know who got cancer and had MRI's;
Did these patients drink?
Did these patients smoke?
Did these patients have a diet high in fat?
Did these patients get enough exercise?
Did these patients have a family history of CANCER?
Did these patients work with toxic chemicals?
Do you know these patients well enough to answer these questions? Probably not. Did you realize that MRI's and Mammograms use (2) entirely different types of radiation before you posted. Probably not. I had heard of photons, but did not really know what they were so I did a little research before responding to you and now I know they are a particle of "Electromagnetic Energy (light)". I would ask you to consider that there are hundreds of reasons for why these particular patients got cancer which have no relation to MRI's. In regards to mammograms causing cancer the mere fact they use ionizing radiation makes it pretty obvious to someone who wants to see it that they do cause breast cancer.
However; long term studies concerning the effects of the "Long Term Exposure of Breast Tissue to Ionizing Radiation" have NEVER BEEN DONE; therefore, how can any medical professional promote this screening procedure without any studies on SAFTEY having been done?? I would rather have an MRI any day than play russian ruilett with a questionable screening procedure like mammograms.
All of what you have stated is correct and that is not my point. My point is that you cannot say with certainty whether or not the cancer would have developed anyway. It is also presumptuous of you to think that I do not know the difference between the photons produced by MRI and the ionizing radiation that occurs with mammograms. For that matter, there is an increase in the amount of ionizing radiation one receives from a passenger jet flight. I'm trying to make a point. DON'T BE SO DEFENSIVE AND INSULTING. There has never been a study with regular mammograms or with MRI.
Did you know that sunlight caused cancer? I'm glad I caused you to do some reading. I am also aware of all the other risk factors you listed. Be nice, d****t!
As a matter of fact, there have been studies on mammography and the amount of radiation. These have led to a reduction in the dose of radiation. MRI causes the protons in all the hydrogen atoms in a persons body to align in a specific way that causes them to release energy in the form of photons. We do not know how safe this is or how often MRI's can be safely done in breast tissue yet. MRI's should be safer, but a lot of things that are thought to be safe turn out not to be. MRI's have been done primarily on the brain in the past. The brain is one of the least sensitive organs to any type of radiation.
Also, the dose of radiation that can be safely given varies with time. A mammogram done yearly for 20 years does not pose the same risk as 20 mammograms done in one year. These are not black and white issues which should be obvious to anyone who wants to see it AND THEN THINK. Obama, just being passionate about a subject does not make you absolutely right about all aspects of that subject.
Again, you are presumptuous in the statements about what I know and don't know about breast cancer, the things that increase the risk of developing it, family history risks etc. I have been involved with diagnosing and treating breast cancer since 1972.
Are you as open minded and knowledgeable as you purport to be? PROBABLY NOT. At least I have heard of photons since I was about 12 years old and about the risks of radiation for almost that long.
To all who inferred my cancer was caused by my mammograms: I agree that there is some cause for concern when it comes to x-ray exposure and one should never expose themselves to x-rays unnecessarily. However, while there is no proof that mammos cause cancer there IS proof that mammos help catch cancer early. Catching any cancer as early as possible reduces the cost of treatment (financial, physical & emotional) and increases the long-term survival rate. If you choose to forego testing because of possible side-effects - That's fine. Your choice. But DON'T infer that I, and thousands of other women, caused our own cancer by getting mammos. Each of us are different and have different risk factors. We did what we thought was best based on our bodies, our doctor's advice and the advice of the American Cancer Society.
MRI is more sensitive than mammography but it is less specific. It picks up more abnormalities but it is harder for the mammographer to determine whether they are more significant or not.
Today's mammogram machines produce about as much radiation as a person receives daily from all other sources combined.
Digital mammograms are even more sensitive than regular mammograms and these are becoming more readily available.
Check out Prevention magazine on myths about breast cancer.
I was not a big fan of mammograms like everyone else and I put it off for just over four years. This August I was at the hospital for blood work and decided to bite the bullet and schedule a mammogram. Well this past Monday I had surgery due to breast cancer. I am 49 and had I decided not do anything then I may not have been here next year. As of today my cancer is gone and they took 3 lymph nodes and they tested negative. I will recieve 6 1/2 weeks of radiation starting the first part of November and I can saying easily that I WILL be getting my mammograms every year from this point forward.
While the survival rate is an important measure, I don't think it is the ONLY measure we should consider when studying the importance of a mammogram. Another important measure of the value of a mammogram is the amount of treatment necessary to treat the cancer.
My cancer was found early thanks to a mammogram, which meant I had much less treatment then would have been required had it been found later, and I have an excellent prognosis. There was no lump, so mammography was the only way to find it that early. I am glad that those whose cancers are discovered at a later stage have good treatment options, but if early detection reduces the amount of treatment that is necessary, then the mammogram is valuable, even if death rates remain the same.
Mammograms are a thing of the past. OLD technology with limited effectiveness. A company known as IMDS (Imaging Diagnostic Systems) has perfected a THREE DIMENSIONAL breast imaging process exponentially more effective than mammograms. Further, there is NO COMPRESSION and NO PAIN OR DISCOMFORT for the woman. It is time we evolved with the technology available!
I think the studies are hard to understand for most people. For me, my cancer was detected very early by a mammogram, allowing me to have a much less harsh course of treatment. Get those mammograms, ladies.
The lifetime risk of American women for breast cancer is 12.7% or about 1 out of every 9 women. This is a high prevalance disease and there is no justification for not screening. It is preposterous to imply that screening for breast cancer is some for-profit scam by the medical establishment. The next time you see a Run for the Cure on TV and look at a sea of survivors wearing pink ribbons be assured that very few of them found their cancer by feeling a lump. Also note that the article stated that women over 70 were not eligible for screening - I think that is horrific and it gives you a glimpseĀ into the mindset of socialized medicine.
Also note that the article stated that women over 70 were not eligible for screening - I think that is horrific and it gives you a glimpse into the mindset of socialized medicine.
I know, scary isn't it? Sooo, women over 70 aren't eligible for screening and than they have this study that apparently says that there isn't much benefit to screening women over 50. So now they only want to screen women between 40 and 50?
In October 2008 my daughter was diagnosed with breast cancer. It was in the very early stages. She had a double mastectomy and has been cancer free for 1 1/2 years. She had just turned 43 years old. Had she followed the advice of the U. S. PreventiveTask Force, she probably would not have lived to 50 years old. So to all women, follow the advice of the American Cancer Society and get your mammogram beginning at age 40 or sooner if you are at high risk.
Admittedly, that's a rare case. What will you say to the women that follow your advice and expose their breasts to x-ray radiation annually with 30+ mammograms that cause the cancer?
"So to all women, follow the advice of the American Cancer Society"
Why follow the old advice and not follow the new advice based on more information?
Vincent is wrong. That is not such a "RARE CASE". There are several studies out that show a significant number of women under 50. develop breast cancer. Women in this age group tend to have more aggressive breast cancer. A recent report from the New England area in the Journal of Oncology Practice showed that 25% of women were under age 50. MRI is still not available everywhere. Infrared mammography is still being studied. They both use non-ionizing radiation which we hope is safer. It stands to reason that it is. However, we do not know. There is now a report out that ultrasound, which uses just sound waves, may be hazardous in certain stages of development of female fetuses.
I doubt Vincent's and Obama's qualifications are as solid as their opinions seem to be on this matter.
Well, if you don't know you have cancer, you certainly can't seek "better treatment." My cancer, an aggressive one, was detected by a mammogram when the lump was not discernable by palpation. You won't convince me that mammograms don't save lives!
I found my own breast cancer because of a lump when I was 47. I had a mastectomy, they removed 21 lymph nodes and all were cancer free. I did not have chemo or radiation and it's been 25 1/2 years. They took the breast to pathology and after analyzing it they found 5 more tiny cancers that did not show on the mammogram. Had I not had early treatment I definitely would not have survived to see my 7 grandchildren grow up. I am now 74 and would have my yearly mammogram even if it meant I had to go without food. Anyone who believes these silly studies and does not have a yearly mammogram is playing Russian Roulette with their lives. So far Medicare and my private insurance has always paid for them. No one wants to face cancer, but if it's there it's better to find out early and get rid of it than try an save a few $ and not have the test. I can't believe professional medical people could put out such an irresponsible study.
Grandma Moses-6644013 wrote "They took the breast to pathology and after analyzing it they found 5 more tiny cancers that did not show on the mammogram. Had I not had early treatment I definitely would not have survived to see my 7 grandchildren grow up."
This is the entire controversy. After decades of data on how mammography detection affects mortality, the new responsible recommendations trump the older mammography recommendations based on nearly zero information.
"I am now 74 and would have my yearly mammogram even if it meant I had to go without food."
The average American woman lives until 80, and you write that you are 74. You would die without food within thirty days, but you'd prefer certain death over a small chance in a cancer? In the meantime, everyone else is paying for extending your life. Why don't you pay for these end-of-life procedures yourself?
Breast Cancer Awareness has become breast cancer hysteria.
Vincent, do you have a point to make here? You are implying several things with your comments. Please expound on your opinion concerning the statements you have made. Enlighten us on your opinion about who should pay for mammograms in Medicare aged patients and all patients for that matter.
I've also noticed that there is NO mention of how many women are seriously injured in mammography machine's every year. My 70 year old aunt had her left breast crammed into a mammography unit and compressed so hard she was banging on the machine and yelling for the tech; however, the bitch that was performing the mammogram made sure she got the image before coming to see why her patient was in so much distress. By the time the tech got there and released my aunt's left breast from the mammography unit, the bottom of the left breast had been torn open and it bled all over the bottom plate of the unit. My aunt couldn't wear a bra for weeks and was in a lot of pain while the under side of her breast healed up.
The radiation exposure issue and what happened to my aunt has turned me completely off mammograms; consequently, I became my own advocate and fought for and won Breast MRI's every other year. I had to tolerate a temper-tantrum by my FORMER gynecologist and the search for a new gynecologist who would be willing to refer me for the Breast MRI's which MOST health insurance companies WILL COVER "IF you have a doctor's referral." I found such a gynecologist who was willing to think for herself instead of letting the American Cancer Society do her thinking for her. I wish more women should start advocating for more accessiblility to and affordability in Breast MRI's which use NO compression and NO radiation then maybe the medical community would have "The Run For A New Screening Method". The longer women accept mammograms and refuse to fight for something else more women like my aunt will be hurt, maimed, and over exposed to radiation.
Dr. H. Gilbert Welch of Dartmouth Medical School noted Some 2,500 women would have to be regularly screened over 10 years to save one life from breast cancer.
cheerio, you apparently are 1 in 25,000! But how many other women contracted breast cancer because they got regular mammograms???
Dr. H. Gilbert Welch is a general internal medicine specialist "whose research focuses on the problems created by medicine's efforts to detect disease early: physicians test too often...". He has a book for sale on the subject for $16.95 so he is profiting from the debate just as others are when they take the other side. He makes some good points, but more of them pertain to screening and over-treatment of prostate cancer which is an entirely different cancer. 50% of men who have it die with it, not of it. His opinion is one side of the argument. A lot of experts disagree with him on breast cancer, fewer on prostate cancer.
stanmark, I am not familiar with the 1 in 25,000 figure. If you have a reference I would be interested. The article states that mammography prevented 2.4 deaths per 100,000 and that figure is low compared to some other studies and opinions.
How old is the technology? Have clinical studies been done to compare accuracy of test results between mammography and/or breast MRI & IMDS? I'll sacrifice comfort for accuracy every time. "Advanced technology" sounds great - but "advanced" doesn't always mean "better".
I have read the article in the September 23rd New England Journal of Medicine and the Editorial written in the same issue. There are some important points:
1. The stage of the breast cancer in both the control group and the group who had mammograms was not mentioned. It is important to know the size of the primary tumor and whether or not it has spread to lymph nodes, how many lymph nodes were involved and whether or not it has spread to other organs.
2. The estrogen and progesterone status of the cancers is not mentioned. Breast cancers that are estrogen and progesterone receptor positive can be treated with hormones and have a better prognosis.
3. The HER2neu status of the cancers is not mentioned. HER2neu antigen positivity used to be a bad thing. Breast cancers that were HER2neu positive were more resistant to treatment with hormones and chemotherapy until trastuzumab (Herceptin) was developed. Trastuzumab attacks HER3neu antigen sites on a breast cancer cell and kills it. The prognosis for cure is now much better in patients with HER2neu positive breast cancer than in HER2neu negative breast cancer.
4. The doctor writing the Editorial, Dr. H. Gilbert Welch, has become an advocate of fewer tests and less treatment. He is on the staff at a Veterans Affairs Hospital affiliated with Dartmouth. He probably does not see many patients with breast cancer and since he is not a specialist in oncology he very likely does not treat them. He has written a book that is for sale from the University of California Press for $16.95 that states his opinion on "over-testing" and "over-treating". This means he has a vested interest in this position and he is financially rewarded every time one of his books is sold.
Breast MRI's and other forms of imaging are not mentioned in the article. MRI's are a lot more expensive than mammograms and a lot of insurance companies do not pay for them. I doubt they are available in Norway. They are not uniformly available here. When they become readily available, then we will be able to see if they are better or worse at finding breasts cancers and also if they have more risks involved. Until then, the remarks about their superiority are mainly speculation. I hope there will be better ways to diagnose breast cancers and all cancers and that they will be affordable. However, some of the posts on this seed are from people who think they are experts but are not. It seems that a lot of people who may not even know how to pour P out of a boot with the instructions on the heal think they know a lot about cancer. Until a better screening test is readily available, mammography is still the gold standard.
I had yearly mammograms for probably at least 15 years, being at above-average risk for breast cancer since my mother was a breast cancer survivor from the age of 35. I complained to my primary physician for at least two years of pain in my left breast, and mammograms and even an ultrasound came back negative. When I turned 63 I had my yearly mammogram which revealed a lump in my left breast which when biopsied was found to be a malignancy. The radiologist at the time told me that he could see the mass in a mammogram done a year earlier by a different radiologist, who apparently missed it. Had I waited another year to do a mammogram my prognosis would be very different than it is today, although because of the delay in treatment the mass was allowed to grow and I had a bilateral mastectomy (the right breast I chose to have removed prophylactically) followed by chemotherapy and now am taking an aromatase inhibitor. I feel very blessed that there was no apparent metastasis, and the tumor had not grown over 2cm but there were other areas of the breast with carcinoma in situ. Had there been better imaging tools (or had the first radiologist had better skills) I may have been spared the chemo at least. The most frustrating part is when you "know" that something isn't right, but all the tests say that you're ok and then your doctor looks at you like you're a hypochondriac so you decide that it's all just in your mind, until the tumor gets big enough to be seen on a mammogram or until you get a radiologist who can read a mammogram. At any rate, I know that my mother's breast cancer was certainly not caused by radiation from mammograms, since at the age of 35 (and over 50 years ago) she had never had one. She was also the first woman in my family to have had breast cancer.
This study may have shown that mammograms don't help women over 50, but I was 52 when a mammogram discovered my cancer 11 years ago. In those 11 years two granddaughters have been born and a grandson is on the way. I would never have seen these babies had my cancer not been treated; and it wouldn't have been treated if it hadn't been found. I thank God that my doctor never told me I didn't need mammograms after 50.
I think this "study" is pure cr*p.
That study is a bunch of garbage... My Mom (age 70) gets regular mammograms and last year it found a small bunch of "flecks" and had her rechecked in May of this year. The 2nd recheck showed a big mass "golf ball size" and she ended up with a mastectomy and the cancer was stage 2, and thank God it didn't spread to her lymph nodes.
If we were to follow this stupid rules of every 2 years, my Mom may not be around today...
So I will continue to go every year!!! Amazing how insurance will pay for Viagara, but not want to pay for yearly mammograms..
Derse-What kind of BC did you have? Some BC grows so slowly, that you can die of natural or other causes before the cancer kills you. The Dutch found this out in a recent study.
Looks like, though, the American Cancer Society is going to stick by their recommendations no matter how many European or International studies prove otherwise. The want to make sure the medical profession has many ways of getting into our pockets.
Deborah - the problem is that there is no current way of knowing if the tumor YOU might have is one of those "slow-growing" ones. So while this might be true that some tumors are slow-growing, women are still risking missing the cancers that are NOT slow-growing if they don't have regular mammograms. I'm not personally willing to take that chance. If you are, good for you.
This study is brought to you by the drug companies trying to steal profits/funds from the producers of x-ray equipment at women's expense.
This story is most likely an ad paid for the by the drug industry under the quise of a news article.
The makers of x-ray machines lied to women that these detection devices would extend their lives. Now that a few decades of data have been corrected, the x-ray makers lied.
No the drug companies that are financing this under the disguise of a news item are lying. Mammograms have saved lives of many women something some men do not realize.
This study was done in Norway. The population is different there. It is more uniform. Black women have more aggressive breast cancers for indefinite reasons and other subgroups in the U.S. very likely do too. This article is commented on by an editorial that argues that mammography was better before 1990 than it is today. That is just not true. Today's machines are better and cause less radiation exposure. A separate study from a publication by the American Society of Clinical Oncology reported on the incidence of breast cancer in the New England states. 25% of the women diagnosed with breast cancer were under the age of 50. This was a recent study. Breast cancer in women under 50 is, in general, a more aggressive and deadlier disease, therefore it will save fewer lives than in women over 70. There really are not many breast cancers that can just be observed.
As far as blaming the drug companies, they have nothing to do with mammography. The medical equipment companies represent a different group altogether. Their profits have been as high or higher than the drug companies' profits for the last year, although they both have been in the top 20.
Find the article. It argues AGAINST having mammograms under the age of 50. My opinion is that is a dangerous recommendation, but the editorial was written by one of the doctors on the FDA committee that recommended against routine mammograms under 50. One could argue that she is being rewarded by the FDA to make this recommendation. Maybe the FDA is behind this, or maybe the doctor writing the editorial is just defending her position. A lot of experts in breast cancer have been very critical of that FDA committee and I don't believe they are doing it for personal gain. In fact, chemotherapy is NOT given to the earliest stage breast cancers, like carcinoma-in-situ or even invasive cancers up to 1cm. in size in some cases. That means that if the doctors really wanted to treat more patients with breast cancer that it would be to their advantage to not do mammograms.
I do not do mammograms or own a mammogram machine so I do not have a special interest in making profits from them. It is always discouraging to see people post comments about not treating cancer, or placing blame on the wrong people. A study done in Norway may be dead-on when it comes to that uniform group of mostly Scandanavian extraction but it could be "deadly-on" if too much credence is given to it when carrying the idea to the U.S.
Check out the NCCN Breast Cancer Guidelines for their recommendations http://www.nccn.com
I don't care what the research shows. Early detection means a better chance of surviving cancer. I will continue to get yearly mammograms regardless of what these scientists say.
My thoughts exactly. Another example of TOTALLY IRRESPONSIBLE journalism.
These studies should not be reported verbatim to the general public. They mean nothing to anyone but the researchers conducting them.
Smlfry2 wrote "I will continue to get yearly mammograms regardless of what these scientists say."
Why did you listen to the scientists that told you to get the exams? Why do you trust old recommendations that did not have decades of results to new data based on decades of results?
I bet if a doctor told a woman that the mammogram would probably do little to extend her life but definitely increased her chance of cancer due to x-ray exposure, fewer women would stick their breasts in the machines.
I have 'fibrocystic breast tissue' - a.k.a. 'lumpy bumpy boobs' - and have been getting mammograms since age 27 after a benign lump was found. Until age 40 I got a mammo every 3 years. From age 40-50 every other year. At age 50 a lump was seen on my mammo that was biopsied and found to be cancer. The surgeon, with all her years of experience, could not feel the lump with her fingers and had to use the ultrasound machine. Comparing the 2008 digital mammogram with my 2007 digital mammogram, she assured me THE CANCER WAS NOT THERE IN 2007. In 12 months I had gone from zero lump to one that ended up being 4.4cm. The cancer had spread to 2 of my lymph nodes. There is no breast cancer in my family. No cancer at all. Had I not gotten my mammo when I did I would not have survived. It seems $100-$150 is a small price to pay to catch cancer early when it is most survivable. I have an 80% chance of living a 'normal life span'. Patients with breast cancer that is caught before it reaches the lymph nodes have a 90%-99% chance of living a normal life span. I know, I work in clinical research for a major hospital. Mammograms save lives and potentially, money. My treatment (surgery, chemo & radiation - 51 weeks in all) cost over $250,000.
Women, and those who love them, need to fight this new effort to scale back screening as a cost saving measure. Nationalized heath care at its finest is not going to save our lives.
This is EXACTLY what this is about. These test balloons in the media seem to be getting launched every few months now.
And what a load of horse manure this is. Because nobody's getting "better treatment" until the cancer is detected - usually via mammogram. The fibrocystic breast tissue that BAnn refers to in her post is VERY common. I have it too, as do loads of my friends and family members. It is almost impossible to do self-exams when you have this kind of breast tissue. Regular mammograms - in conjunctions with ultrasounds - are the only effective and reasonable cost-effective methods we currently have to detect these cancers. I'm not stopping my yearly exams.
And how about the "greater awareness"? Yes, greater awareness means more women are getting regular mammograms, catching problems earlier and resulting in better outcomes for them.
BAnn-I'm not an expert in math, but sounds like you had at least 10 mammograms before the cancerous lump was found. Gee, that's a lot of radiation. Especially the earlier mammograms that delivered a higher dose. You never said what kind of breast cancer you were diagnosed with.
BAnn wrote "There is no breast cancer in my family. No cancer at all. Had I not gotten my mammo when I did I would not have survived."
Have you considered that the x-ray exposure from all of those 20+ mammograms caused your cancer?
VincentDenali and Deborah-373267 make the point that mammography may cause the development of breast cancer over and over in their posts but in someone who has severe fibrocystic disease it is very hard to distinquish a 1cm. cancer from a cyst. Fibrocystic breast disease does not increase a person's risk of developing breast cancer but, as fiscal... states, it makes it very hard for a person doing breast self examination or a doctor doing an examination to find an early breast cancer.
Whether or not the mammogram caused the cancer is a moot point once it is there. To not have the mammograms means running the risk of later detection and higher likelyhood of the cancer spreading.
In regards to the cancer in and of itself, if the breast cancer was caused by numerous mammograms then that would suggest that there was NO CANCER present before the patient began mammogram screening; therefore, the radiation exposure CAUSED the CANCER; consequently, if there had been NO mamograms or mammograms every two or more years there is a very good chance there would "never" have been any "cancer" to find. Also, mammograms MISS 30% of cancers or more depending on the hospital or clinic and the radiologists skill at reading mammogram images. Fibrocystic breasts only make matters worse; therefore, I find it hard to believe your doctor hasn't sent you for Breast MRI's which would be much more comfortable, safer and more accurate for you. If your doctor hasn't suggested it you should demanded Breast MRI's which would be much safer for someone with your situation rather than playing russian ruillet with your conditon and mamograms which are not entirely accurate to begin with. (you should really google mammogram & Breast MRI images and see the difference for yourself) Most health insurance providers will cover Breast MRI's with a doctor's referral if your doctor won't go along with MRI's find another one who will. I went through the hassle of fighting for Breast MRI's myself because as I stated a few posts down I want nothing to do with the radiation exposure from mammograms and when my aunt was hurt in a mammogram unit that just sealed things for me. The fight wasn't pretty with my former gynecologist having a temper tantrum or the search for a gynecologist who would see eye to eye with me, but the MRI's are worth the aggravation believe me.
How do you prove that the breast cancer was caused by the mammograms? It may have developed de novo. That is the problem with any cancer, with rare exceptions, such a mesothelioma. Do we know that MRI's will not cause cancer? No. They make protons release energy in the form of photons. Furthermore, I know patients who have had MRI's who later got cancer. Was that the fault of the MRI? Probably not, but prove it.
Magnetic Resonance Imaging (MRI) uses a powerful "Magnetic Field","Radio Frequency Pulses", and a computer to create detailed images of organs, soft tissues, bone, etc.
A Photon is a particle of "Electromagnetic Energy (light)" which is a totally different form of radiation then that used for ct scans, x-rays, and mammograms.
CT scans, X-rays, & Mammograms use "IONIZING RADIATION" which is created with the splitting of an ATOM which is the same reaction used to detonate a "NUCLEAR WEAPON"such as the A-bomb's dropped on Hiroshima and Nagasaki in WWII. This type of radiation is very toxic to human life and the effects of this radiation are "CUMULATIVE"
Concerning the patients you know who got cancer and had MRI's;
Did these patients drink?
Did these patients smoke?
Did these patients have a diet high in fat?
Did these patients get enough exercise?
Did these patients have a family history of CANCER?
Did these patients work with toxic chemicals?
Do you know these patients well enough to answer these questions? Probably not. Did you realize that MRI's and Mammograms use (2) entirely different types of radiation before you posted. Probably not. I had heard of photons, but did not really know what they were so I did a little research before responding to you and now I know they are a particle of "Electromagnetic Energy (light)". I would ask you to consider that there are hundreds of reasons for why these particular patients got cancer which have no relation to MRI's. In regards to mammograms causing cancer the mere fact they use ionizing radiation makes it pretty obvious to someone who wants to see it that they do cause breast cancer.
However; long term studies concerning the effects of the "Long Term Exposure of Breast Tissue to Ionizing Radiation" have NEVER BEEN DONE; therefore, how can any medical professional promote this screening procedure without any studies on SAFTEY having been done?? I would rather have an MRI any day than play russian ruilett with a questionable screening procedure like mammograms.
All of what you have stated is correct and that is not my point. My point is that you cannot say with certainty whether or not the cancer would have developed anyway. It is also presumptuous of you to think that I do not know the difference between the photons produced by MRI and the ionizing radiation that occurs with mammograms. For that matter, there is an increase in the amount of ionizing radiation one receives from a passenger jet flight. I'm trying to make a point. DON'T BE SO DEFENSIVE AND INSULTING. There has never been a study with regular mammograms or with MRI.
Did you know that sunlight caused cancer? I'm glad I caused you to do some reading. I am also aware of all the other risk factors you listed. Be nice, d****t!
As a matter of fact, there have been studies on mammography and the amount of radiation. These have led to a reduction in the dose of radiation. MRI causes the protons in all the hydrogen atoms in a persons body to align in a specific way that causes them to release energy in the form of photons. We do not know how safe this is or how often MRI's can be safely done in breast tissue yet. MRI's should be safer, but a lot of things that are thought to be safe turn out not to be. MRI's have been done primarily on the brain in the past. The brain is one of the least sensitive organs to any type of radiation.
Also, the dose of radiation that can be safely given varies with time. A mammogram done yearly for 20 years does not pose the same risk as 20 mammograms done in one year. These are not black and white issues which should be obvious to anyone who wants to see it AND THEN THINK. Obama, just being passionate about a subject does not make you absolutely right about all aspects of that subject.
Again, you are presumptuous in the statements about what I know and don't know about breast cancer, the things that increase the risk of developing it, family history risks etc. I have been involved with diagnosing and treating breast cancer since 1972.
Are you as open minded and knowledgeable as you purport to be? PROBABLY NOT. At least I have heard of photons since I was about 12 years old and about the risks of radiation for almost that long.
To all who inferred my cancer was caused by my mammograms: I agree that there is some cause for concern when it comes to x-ray exposure and one should never expose themselves to x-rays unnecessarily. However, while there is no proof that mammos cause cancer there IS proof that mammos help catch cancer early. Catching any cancer as early as possible reduces the cost of treatment (financial, physical & emotional) and increases the long-term survival rate. If you choose to forego testing because of possible side-effects - That's fine. Your choice. But DON'T infer that I, and thousands of other women, caused our own cancer by getting mammos. Each of us are different and have different risk factors. We did what we thought was best based on our bodies, our doctor's advice and the advice of the American Cancer Society.
I certainly agree BAnn.
A couple of other thing:
MRI is more sensitive than mammography but it is less specific. It picks up more abnormalities but it is harder for the mammographer to determine whether they are more significant or not.
Today's mammogram machines produce about as much radiation as a person receives daily from all other sources combined.
Digital mammograms are even more sensitive than regular mammograms and these are becoming more readily available.
Check out Prevention magazine on myths about breast cancer.
I was not a big fan of mammograms like everyone else and I put it off for just over four years. This August I was at the hospital for blood work and decided to bite the bullet and schedule a mammogram. Well this past Monday I had surgery due to breast cancer. I am 49 and had I decided not do anything then I may not have been here next year. As of today my cancer is gone and they took 3 lymph nodes and they tested negative. I will recieve 6 1/2 weeks of radiation starting the first part of November and I can saying easily that I WILL be getting my mammograms every year from this point forward.
While the survival rate is an important measure, I don't think it is the ONLY measure we should consider when studying the importance of a mammogram. Another important measure of the value of a mammogram is the amount of treatment necessary to treat the cancer.
My cancer was found early thanks to a mammogram, which meant I had much less treatment then would have been required had it been found later, and I have an excellent prognosis. There was no lump, so mammography was the only way to find it that early. I am glad that those whose cancers are discovered at a later stage have good treatment options, but if early detection reduces the amount of treatment that is necessary, then the mammogram is valuable, even if death rates remain the same.
Good point.
Mammograms are a thing of the past. OLD technology with limited effectiveness. A company known as IMDS (Imaging Diagnostic Systems) has perfected a THREE DIMENSIONAL breast imaging process exponentially more effective than mammograms. Further, there is NO COMPRESSION and NO PAIN OR DISCOMFORT for the woman. It is time we evolved with the technology available!
That sounds great- but how far away are we from this technology being routinely available to women at a reasonable rate?
Sounds good to me!
I think the studies are hard to understand for most people. For me, my cancer was detected very early by a mammogram, allowing me to have a much less harsh course of treatment. Get those mammograms, ladies.
The lifetime risk of American women for breast cancer is 12.7% or about 1 out of every 9 women. This is a high prevalance disease and there is no justification for not screening. It is preposterous to imply that screening for breast cancer is some for-profit scam by the medical establishment. The next time you see a Run for the Cure on TV and look at a sea of survivors wearing pink ribbons be assured that very few of them found their cancer by feeling a lump. Also note that the article stated that women over 70 were not eligible for screening - I think that is horrific and it gives you a glimpseĀ into the mindset of socialized medicine.
I know, scary isn't it? Sooo, women over 70 aren't eligible for screening and than they have this study that apparently says that there isn't much benefit to screening women over 50. So now they only want to screen women between 40 and 50?
Socialized medicine is not the answer.
In October 2008 my daughter was diagnosed with breast cancer. It was in the very early stages. She had a double mastectomy and has been cancer free for 1 1/2 years. She had just turned 43 years old. Had she followed the advice of the U. S. PreventiveTask Force, she probably would not have lived to 50 years old. So to all women, follow the advice of the American Cancer Society and get your mammogram beginning at age 40 or sooner if you are at high risk.
Admittedly, that's a rare case. What will you say to the women that follow your advice and expose their breasts to x-ray radiation annually with 30+ mammograms that cause the cancer?
"So to all women, follow the advice of the American Cancer Society"
Why follow the old advice and not follow the new advice based on more information?
Vincent is wrong. That is not such a "RARE CASE". There are several studies out that show a significant number of women under 50. develop breast cancer. Women in this age group tend to have more aggressive breast cancer. A recent report from the New England area in the Journal of Oncology Practice showed that 25% of women were under age 50. MRI is still not available everywhere. Infrared mammography is still being studied. They both use non-ionizing radiation which we hope is safer. It stands to reason that it is. However, we do not know. There is now a report out that ultrasound, which uses just sound waves, may be hazardous in certain stages of development of female fetuses.
I doubt Vincent's and Obama's qualifications are as solid as their opinions seem to be on this matter.
Well, if you don't know you have cancer, you certainly can't seek "better treatment." My cancer, an aggressive one, was detected by a mammogram when the lump was not discernable by palpation. You won't convince me that mammograms don't save lives!
I found my own breast cancer because of a lump when I was 47. I had a mastectomy, they removed 21 lymph nodes and all were cancer free. I did not have chemo or radiation and it's been 25 1/2 years. They took the breast to pathology and after analyzing it they found 5 more tiny cancers that did not show on the mammogram. Had I not had early treatment I definitely would not have survived to see my 7 grandchildren grow up. I am now 74 and would have my yearly mammogram even if it meant I had to go without food. Anyone who believes these silly studies and does not have a yearly mammogram is playing Russian Roulette with their lives. So far Medicare and my private insurance has always paid for them. No one wants to face cancer, but if it's there it's better to find out early and get rid of it than try an save a few $ and not have the test. I can't believe professional medical people could put out such an irresponsible study.
Grandma Moses-6644013 wrote "They took the breast to pathology and after analyzing it they found 5 more tiny cancers that did not show on the mammogram. Had I not had early treatment I definitely would not have survived to see my 7 grandchildren grow up."
This is the entire controversy. After decades of data on how mammography detection affects mortality, the new responsible recommendations trump the older mammography recommendations based on nearly zero information.
"I am now 74 and would have my yearly mammogram even if it meant I had to go without food."
The average American woman lives until 80, and you write that you are 74. You would die without food within thirty days, but you'd prefer certain death over a small chance in a cancer? In the meantime, everyone else is paying for extending your life. Why don't you pay for these end-of-life procedures yourself?
Breast Cancer Awareness has become breast cancer hysteria.
So easy for a man to say...
Vincent, do you have a point to make here? You are implying several things with your comments. Please expound on your opinion concerning the statements you have made. Enlighten us on your opinion about who should pay for mammograms in Medicare aged patients and all patients for that matter.
Well....nothing being said about the dangers of all these mammograms, xrays, etc. Can these play a role in cancers of all kinds also?
Yes, the increase in cancer due to the mammography process is mentioned often enough.
I've also noticed that there is NO mention of how many women are seriously injured in mammography machine's every year. My 70 year old aunt had her left breast crammed into a mammography unit and compressed so hard she was banging on the machine and yelling for the tech; however, the bitch that was performing the mammogram made sure she got the image before coming to see why her patient was in so much distress. By the time the tech got there and released my aunt's left breast from the mammography unit, the bottom of the left breast had been torn open and it bled all over the bottom plate of the unit. My aunt couldn't wear a bra for weeks and was in a lot of pain while the under side of her breast healed up.
The radiation exposure issue and what happened to my aunt has turned me completely off mammograms; consequently, I became my own advocate and fought for and won Breast MRI's every other year. I had to tolerate a temper-tantrum by my FORMER gynecologist and the search for a new gynecologist who would be willing to refer me for the Breast MRI's which MOST health insurance companies WILL COVER "IF you have a doctor's referral." I found such a gynecologist who was willing to think for herself instead of letting the American Cancer Society do her thinking for her. I wish more women should start advocating for more accessiblility to and affordability in Breast MRI's which use NO compression and NO radiation then maybe the medical community would have "The Run For A New Screening Method". The longer women accept mammograms and refuse to fight for something else more women like my aunt will be hurt, maimed, and over exposed to radiation.
Dr. H. Gilbert Welch of Dartmouth Medical School noted Some 2,500 women would have to be regularly screened over 10 years to save one life from breast cancer.
cheerio, you apparently are 1 in 25,000! But how many other women contracted breast cancer because they got regular mammograms???
Milly, you hit the nail on the head.
Dr. H. Gilbert Welch is a general internal medicine specialist "whose research focuses on the problems created by medicine's efforts to detect disease early: physicians test too often...". He has a book for sale on the subject for $16.95 so he is profiting from the debate just as others are when they take the other side. He makes some good points, but more of them pertain to screening and over-treatment of prostate cancer which is an entirely different cancer. 50% of men who have it die with it, not of it. His opinion is one side of the argument. A lot of experts disagree with him on breast cancer, fewer on prostate cancer.
stanmark, I am not familiar with the 1 in 25,000 figure. If you have a reference I would be interested. The article states that mammography prevented 2.4 deaths per 100,000 and that figure is low compared to some other studies and opinions.
How old is the technology? Have clinical studies been done to compare accuracy of test results between mammography and/or breast MRI & IMDS? I'll sacrifice comfort for accuracy every time. "Advanced technology" sounds great - but "advanced" doesn't always mean "better".
I have read the article in the September 23rd New England Journal of Medicine and the Editorial written in the same issue. There are some important points:
1. The stage of the breast cancer in both the control group and the group who had mammograms was not mentioned. It is important to know the size of the primary tumor and whether or not it has spread to lymph nodes, how many lymph nodes were involved and whether or not it has spread to other organs.
2. The estrogen and progesterone status of the cancers is not mentioned. Breast cancers that are estrogen and progesterone receptor positive can be treated with hormones and have a better prognosis.
3. The HER2neu status of the cancers is not mentioned. HER2neu antigen positivity used to be a bad thing. Breast cancers that were HER2neu positive were more resistant to treatment with hormones and chemotherapy until trastuzumab (Herceptin) was developed. Trastuzumab attacks HER3neu antigen sites on a breast cancer cell and kills it. The prognosis for cure is now much better in patients with HER2neu positive breast cancer than in HER2neu negative breast cancer.
4. The doctor writing the Editorial, Dr. H. Gilbert Welch, has become an advocate of fewer tests and less treatment. He is on the staff at a Veterans Affairs Hospital affiliated with Dartmouth. He probably does not see many patients with breast cancer and since he is not a specialist in oncology he very likely does not treat them. He has written a book that is for sale from the University of California Press for $16.95 that states his opinion on "over-testing" and "over-treating". This means he has a vested interest in this position and he is financially rewarded every time one of his books is sold.
Breast MRI's and other forms of imaging are not mentioned in the article. MRI's are a lot more expensive than mammograms and a lot of insurance companies do not pay for them. I doubt they are available in Norway. They are not uniformly available here. When they become readily available, then we will be able to see if they are better or worse at finding breasts cancers and also if they have more risks involved. Until then, the remarks about their superiority are mainly speculation. I hope there will be better ways to diagnose breast cancers and all cancers and that they will be affordable. However, some of the posts on this seed are from people who think they are experts but are not. It seems that a lot of people who may not even know how to pour P out of a boot with the instructions on the heal think they know a lot about cancer. Until a better screening test is readily available, mammography is still the gold standard.
I had yearly mammograms for probably at least 15 years, being at above-average risk for breast cancer since my mother was a breast cancer survivor from the age of 35. I complained to my primary physician for at least two years of pain in my left breast, and mammograms and even an ultrasound came back negative. When I turned 63 I had my yearly mammogram which revealed a lump in my left breast which when biopsied was found to be a malignancy. The radiologist at the time told me that he could see the mass in a mammogram done a year earlier by a different radiologist, who apparently missed it. Had I waited another year to do a mammogram my prognosis would be very different than it is today, although because of the delay in treatment the mass was allowed to grow and I had a bilateral mastectomy (the right breast I chose to have removed prophylactically) followed by chemotherapy and now am taking an aromatase inhibitor. I feel very blessed that there was no apparent metastasis, and the tumor had not grown over 2cm but there were other areas of the breast with carcinoma in situ. Had there been better imaging tools (or had the first radiologist had better skills) I may have been spared the chemo at least. The most frustrating part is when you "know" that something isn't right, but all the tests say that you're ok and then your doctor looks at you like you're a hypochondriac so you decide that it's all just in your mind, until the tumor gets big enough to be seen on a mammogram or until you get a radiologist who can read a mammogram. At any rate, I know that my mother's breast cancer was certainly not caused by radiation from mammograms, since at the age of 35 (and over 50 years ago) she had never had one. She was also the first woman in my family to have had breast cancer.