Controversies in Screening Mammography

Document Type

Article

Publication Date

6-1-2016

Publication Title

Clinical obstetrics and gynecology

Keywords

Breast Neoplasms, Carcinoma, Intraductal, Noninfiltrating, Early Detection of Cancer, False Positive Reactions, Female, Humans, Mammography, Medical Overuse, Pain, Practice Guidelines as Topic, Radiation Dosage, Randomized Controlled Trials as Topic

Abstract

The utility and effectiveness of screening mammography in diagnosing breast cancer at earlier stages and reducing disease-specific mortality remain controversial especially as to when to start and stop routine mammographic screening, and whether mammograms should be performed annually or biennially in average-risk women. This manuscript will analyze the available moderate and high-quality data to analyze both the benefits (lives saved and life-years saved) and inconveniences/harms (additional views, extra biopsies/overdiagnosis, and overtreatment of ductal carcinoma in situ) of different mammography screening guidelines to assist the practitioner in counseling their patients in clinical practice.

Medical Subject Headings

Breast Neoplasms; Carcinoma; Intraductal; Noninfiltrating; Early Detection of Cancer; False Positive Reactions; Female; Humans; Mammography; Medical Overuse; Pain; Practice Guidelines as Topic; Radiation Dosage; Randomized Controlled Trials as Topic

PubMed ID

27101240

Volume

59

Issue

2

First Page

351

Last Page

361

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