Indian docs wrote against mammography in 2013

1. Indian docs wrote against
mammography in 2013
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2. Contd…
While the Ameri can Cancer Society on Tues day recommended that women have
“fewer“ mammo grams and start the exercise later in life, experts from Ta ta
Memorial Hospital in Pa rel have been stating this for the past few years. In an
article, titled `Mam mographic screening for breast cancer: Are the chick ens
coming home to roost? in the South Asian Journal o Cancer in January 2013, Tata
Memorial Hospital director Dr Rajendra Badwe and deputy director Dr Sudeep
Gupta wrote against mam mography screening pro grammes carried out in western
populations.
“Screening mammogra phy has substantially in creased the number of early stage
breast cancer cases, on ly marginally reduced advanced stage presenta tion,
resulted in substantia overdiagnosis, and has had little or no effect on popula tion
breast cancer mortali ty,“ they wrote. After the ACS guidelines were released earlier
in the week, Dr Gupta told TOI that mammography “leads to overdiagnosis of
breast cancer“. Dr Badwe said, “Mammography is not an effective tool for women
below 50 years of age.“ Mammography is a diagnostic test to detect breast cancer
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3. Contd…
That apart, doctors recommend that women undergo clinical breast as well as self-breast
examination every month. But new evidence that ACS reviewed said all these tests don't
serve their purpose well. Women under 50 have dense breasts that can lead to false
positive diagnosis, said experts.
“Data from trials and well monitored population-based screening programs suggest that
mammography results in overdiagnosis to the extent of 25-30%,“ wrote Dr Badwe and
Gupta in their article in The South Asian Journal of Cancer. “The practical interpretation of
this statistics is that the cancer in one out of three to four women diagnosed through
screening mammography would either never have surfaced during their remaining lifetime
or only after a couple of decades of the mammographic label,“ they wrote.
So what is the medical advice for Indian women over 40, especially since there is a belief
that the incidence of cancer in the under-40 age group is increasing? “Physical breast
examination by a doctor or a trained health worker once every year for women over 40 is
recommended. And mammography in women over 50 years of age not less than once in
two years,“ Dr Badwe, a breast cancer surgeon, said on Thursday .
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