There has been a lot of debate in the last few years on the benefits,
risks and limitations associated with routine breast exams. Some of the
reports out today are confusing for women who are undergoing regular
screenings.
The NHS's National Cancer Director in the UK has
issued a review that reveals good news for women. Despite the reports of
over diagnosis, the report shows that routine breast screening does
save around 1,300 lives a year in the UK alone.
This significant
number is because a diagnostic mammogram detects cancer at an early
stage before other signs and symptoms are noticed. The sooner cancer is
detected, the more effective and successful treatment will be.
The
review has reported that some women who have cancer detected will be
over-diagnosed. This is due to cancers that are detected but will not
cause harm to that woman in her lifetime. Critics argue that such women
will undergo treatment that is not necessary.
It is important to
note that there is no way to know which cancers will grow and become
deadly and which won't. Therefore, all women will be offered treatment.
Statistics show that some women are over-diagnosed but not which
individual it will happen to. Some women will have their lives saved.
For others, early detection will allow them to avoid more aggressive and
invasive treatment such as chemotherapy and radiation.
It is also important to note that over diagnosis must not be confused with misdiagnosis.
Misdiagnosis
is when someone is told they suffer from a disease that they in fact do
not. Over-diagnosis in regards to breast cancer is when women are
correctly diagnosed, but it is believed that the cancer will not
progress if left untreated.
It is important that women understand
the risks and benefits associated with routine breast imaging so they
are able to make an educated choice about attending their appointments.
Women should discuss all concerns with their doctors and local screening
service.
Although breast affects older women at higher rates, it
is important that younger women who do not receive a routine mammogram
to be breast aware. This means knowing what their breasts look and feel
like normally, looking out for any unusual changes and having them
checked regularly by a doctor. It is important that women understand
what the results mean for them and that they have access to clear and
unfiltered information regarding the pros and cons of breast screening.
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