Controversies in Screening Mammography.
Swain M, Jeudy M, and Pearlman MD. Controversies in screening mammography. Clin Obstet Gynecol 2016; 59(2):351-361.
Clinical obstetrics and gynecology
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