Mammograms-New Guidelines

A Federal Government Health Panel recently announced new guidelines for routine mammograms for women between age 40 and 50. The panel now no longer recommends annual screening for women in this age group, as research has not shown any benefit.

This announcement has come under fire by several groups including The American Cancer Society, radiologists, breast surgeons and oncologists (all profit from cancer detection and treatment). They claim routine mammograms save lives and we are "throwing women 40-50 under the bus."

Some pundits have even linked this announcement to the health care debate, here comes the rationing of care. While I am not a supporter of any national health care system, the link is coincidental.

I applaud the panels recommendation! It took a lot of guts to come out against conventional wisdom and finally base a recommendation on actual science. I have been telling my female patients for years in this age group to skip the mammograms until menopause.

Why would I do that?

Because research over the last 5-10 years is showing not only are mammograms for this age group ineffective for detecting cancer, it actually causes cancer in this age group! The National Cancer Institute reported that in younger women, mammograms cause 75 cancers for every 15 detected. Ductal Carcinoma in Situ (DCIS) has risen 328% since mammogram screening began, and 200% is directly linked to the radiation exposure of the mammogram.

A 1992 Canadian National Breast Cancer Study showed mammograms had no positive effect on mortality for women age 40-50. In fact the study suggested women in this age group were more likely to die of breast cancer when screened regularly.

A 2008 study published in the AMA's Archives of Internal Medicine showed marked increases in cancer rates since the onset of regular screening. But even more astounding is they found many of the cancers detected by mammograms spontaneously regressed!

Mammograms done on pre-menopausal women have a very high incidence of false positive tests, which leads to unnecessary treatment, and stress. There is also a very high incidence of false negative results, meaning many cancers go undetected. For every cancer detected, 4 are missed.

This is a very emotional topic, and tempers can flare when discussing this issue. You will hear of women in their 40's that had their cancer detected by mammograms and claim their life was saved. But when you look at the statistics, yes she was saved, but four other women now have cancer because of the mammogram, three others had false negative tests and 70 women were told they have cancer when they didn't.

The women who survives, should be thankful, and at the same time keep the other 77 women whose lives were adversely affected by mammograms in their prayers.