Breast cancer screening in women aged under 50
BMJPublished 15 March 1997
Suzanne W. Fletcher
Citations14
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ObjectiveStudy objective
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TL;DR
It is clear that in the first five to seven years after study entry, there is no reduction in mortality from breast cancer that can be attributed to screening, and there is an uncertain, and if …
Abstract
Antidepressants and chronic painEffective analgesia in neuropathic pain and other syndromes
Keywords
Medicine
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Screening mammography may be effective in reducing breast cancer mortality in women aged 40 to 49 years after 10 to 12 years of follow-up, but the same benefit could probably be achieved by beginning screening at menopause or 50 years of age.
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It is likely that mammographic screening of women aged 40 to 49 can reduce subsequent mortality from breast cancer, and studies on tumour progression indicate that to obtain substantial benefit it is probably necessary to screen every 12 to 18 months, with 2-view mammography and double reading of films.
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142 Citations1993Mark Elwood, Brian Cox +1 more
This evidence provides no basis for the promotion of mammographic screening in women under age 50 in the general population, and appropriate information including the fact that there has been no demonstrated ultimate benefit should be given.
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The examinations and investigations carried out after false positive mammography—especially in women under 50—and the cost of these procedures are a neglected but substantial problem.
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While the majority of interim targets are being met by the NHSBSP, the rate of detection of small invasive cancers requires careful monitoring and collection of more accurate data on size of cancers and interval cancer rates will give a better indication of progress towards the target mortality reduction.
International Journal of CancerBreast‐cancer screening with mammography in women aged 40–49 years
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