The publisher's final edited version of this article is available at Breast See other articles in PMC that cite the published article. Abstract Few medical issues have been as controversial—or as political, at least in the United States—as the role of mammographic screening for breast cancer. The advantages of finding a cancer early seem obvious. Indeed, randomized trials evaluating screening mammography demonstrate a reduction in breast cancer mortality, but the benefits are less than one would hope. Moreover, the randomized trials are themselves subject to criticism, including that they are irrelevant in the modern era because most were conducted before chemotherapy and hormonal therapy became widely used. In this article I chronicle the evidence and controversies regarding mammographic screening, including attempts to assess the relative contributions of screening and therapy in the substantial decreases in breast cancer mortality that have been observed in many countries over the last 20 to 25 years.
Michael Berry, MD - West Cancer Center : West Cancer Center
The authors have declared that no competing interest exists. Received Jul 5; Accepted Mar 8. This article has been cited by other articles in PMC. Pre-operative MRI is being used with increasing frequency to evaluate breast cancer patients, but the debate surrounding risks and benefits of this use continues. At our institution, we instituted a standardized protocol for pre-operative MRI. Here, we compare patients seen prior to routine use of MRI to those seen after and examine effects on surgical choices, timing and outcomes.
Successful treatment depends on early detection. A mammogram remains the only approved screening procedure for detecting breast cancer. Screening mammograms are for women who have no breast problems or complaints. When to begin regular mammograms is a personal decision between you and your doctor. If you have a strong family history of breast cancer, check with your physician about being screened at an earlier age.
Focusing on You Our Breast Center teams are devoted to providing patients with personalized care. We typically evaluate screening mammograms within two to three days and send a report with the results to the physician as soon as the images are reviewed. If additional imaging is needed to complete the evaluation of the breast, we will contact the patient directly by phone. We will then contact the physician to let he or she know when the patient is returning.
Having a mental illness is mentally ill. Just as having cancer makes you physically ill. What is wrong with people. If we can't even address the real issue then how can it ever be fixed. Considering the suicide rate of trans gendered people I think that playing politically correct at their expense is foolish.