What Should Be The Weight Of A 11 Year Old Should All Women Have Routine Mammography Screenings?

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Should All Women Have Routine Mammography Screenings?

The answer is still uncertain. A team of researchers at the Institute of Cancer Research in London followed 160,900 women for an average of 11 years. The participants were divided into two groups: women in the study group who had annual mammograms starting at age 40, and women in the control group who had annual screenings starting at age 50.

Breast cancer deaths among younger women fell by just 17 percent, a figure the researchers did not consider statistically significant. However, the study also found that 23 percent of women in this group had at least one false positive result, compared with 12 percent of older women. (A false-positive result is an abnormality in the screening process that turns out not to be breast cancer.)

Regular screening also increases the risk of radiation-induced breast cancer, which many endocrinologists believe outweighs the benefits for a small percentage of women.

The researchers concluded that annual mammography screenings remain uncertain and cannot be concluded that there is an increased net benefit for women under 50 years of age.

Another study by researchers at the French National Institute of Health and Medical Research (Institut National de la Sante et de la Recherche Medicale, or INSERM) found that chest x-rays may actually increase breast cancer risk in women with breast cancer. Cancer risk BRCA1 or BRCA2 gene mutation.

The researchers studied 1,601 European and Canadian women who carried mutations in the BRCA1 or BRCA2 genes, which greatly increase the risk of breast and ovarian cancer. The group included 853 women with breast cancer.

The results showed that women who reported having a chest x-ray were 54 percent more likely to develop breast cancer than women who reported not having had a chest x-ray. This finding was more common among women younger than 40 and those who reported having a chest x-ray before age 20.

According to the Susan G. Komen Breast Cancer Foundation website, an estimated 250,000 women in the U.S. carry mutations in the BRCA1 and BRCA2 genes. These genetic mutations account for 5 to 10 percent of breast cancers diagnosed in the U.S. Assuming she lives to age 85, if she The chance of developing breast cancer is about 13 percent without a BRCA2 mutation, 60 to 80 percent if a woman has a BRCA1 mutation, and 30 to 85 percent if she has a BRCA2 mutation.

Radiation exposure is known to increase the risk of cancer. However, it should be noted that X-rays generally use low radiation levels that are generally considered safe. It is also known that the younger the age of first exposure to radiation, the greater the risk of breast cancer.

The duration of exposure is as important as the dosage. Vulnerability to radiation carcinogenesis increases when exposure occurs during a period of vigorous breast cell growth. Even for older women who still have menstrual cycles, the timing of exposure is very important. For women under the age of 40 with mutations in the breast cancer genes BRCA1 or BRCA2, cumulative doses at annual screening mammograms significantly increased risk.

Breast cancer takes years to develop from the first genetic event or exposure to seeing a lump on a mammogram or feeling it during a breast exam. The initial genetic damage may have occurred very early in life. It is difficult to determine when the triggering event occurred.

While healthcare providers take steps to avoid mammograms for women who may become pregnant, women should also avoid mammograms at the end of the menstrual cycle because that’s when breast cells multiply most rapidly.

Because young women and women at high risk for hereditary breast cancer are more susceptible to X-ray radiation, exposure to radiation should be limited and alternatives used in emergencies. Magnetic resonance imaging (MRI) uses a different imaging technique than X-rays and can be a good replacement for X-rays and mammograms.

It is the responsibility of each woman to decide for herself (after research) whether she should risk breast cancer from routine mammograms, or risk complications from late-diagnosed breast cancer if detected early through screening Complications could have been avoided with mammography.

refer to:

Journal of Clinical Oncology

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