|
|
BMJ. 1993 December 4; 307(6917): 1481–1483. | PMCID: PMC1679470 |
American and European recommendations for screening mammography in younger women: a cultural divide? I Jatoi and M Baum Academic Department of Surgery, Royal Marsden Hospital, London. Abstract The American Cancer Society advocates mammography screening for all women from age 40, whereas in Europe it is not recommended for women below the age of 50. Randomised prospective studies have failed to show a significant benefit from screening women aged under 50 and five potentially harmful effects of screening should be considered: lead time, overdiagnosis, radiation exposure, false positive results, and cost. Younger women must be properly informed about the potential for harm as well as for benefit before screening. Full text Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (920K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References. Images in this article Click on the image to see a larger version. These references are in PubMed. This may not be the complete list of references from this article. - Stacey-Clear A, McCarthy KA, Hall DA, Pile-Spellman E, White G, Hulka C, Whitman GJ, Mahoney E, Kopans DB. Breast cancer survival among women under age 50: is mammography detrimental? Lancet. 1992 Oct 24;340(8826):991–994. [PubMed]
- Miller AB, Baines CJ, To T, Wall C. Canadian National Breast Screening Study: 1. Breast cancer detection and death rates among women aged 40 to 49 years. CMAJ. 1992 Nov 15;147(10):1459–1476. [PMC free article] [PubMed]
- Miller AB, Baines CJ, To T, Wall C. Mammography. Lancet. 1993 Feb 13;341(8842):439. [PubMed]
- Andersson I, Aspegren K, Janzon L, Landberg T, Lindholm K, Linell F, Ljungberg O, Ranstam J, Sigfússon B. Mammographic screening and mortality from breast cancer: the Malmö mammographic screening trial. BMJ. 1988 Oct 15;297(6654):943–948. [PMC free article] [PubMed]
- Roberts MM, Alexander FE, Anderson TJ, Chetty U, Donnan PT, Forrest P, Hepburn W, Huggins A, Kirkpatrick AE, Lamb J, et al. Edinburgh trial of screening for breast cancer: mortality at seven years. Lancet. 1990 Feb 3;335(8684):241–246. [PubMed]
- Nyström L, Rutqvist LE, Wall S, Lindgren A, Lindqvist M, Rydén S, Andersson I, Bjurstam N, Fagerberg G, Frisell J, et al. Breast cancer screening with mammography: overview of Swedish randomised trials. Lancet. 1993 Apr 17;341(8851):973–978. [PubMed]
- Bauer TL, Pandelidis SM, Rhoads JE, Jr, Owens RS. Mammographically detected carcinoma of the breast. Surg Gynecol Obstet. 1991 Dec;173(6):482–486. [PubMed]
- Nielsen M, Thomsen JL, Primdahl S, Dyreborg U, Andersen JA. Breast cancer and atypia among young and middle-aged women: a study of 110 medicolegal autopsies. Br J Cancer. 1987 Dec;56(6):814–819. [PMC free article] [PubMed]
- Swift M, Morrell D, Massey RB, Chase CL. Incidence of cancer in 161 families affected by ataxia-telangiectasia. N Engl J Med. 1991 Dec 26;325(26):1831–1836. [PubMed]
- Reidy J, Hoskins O. Controversy over mammography screening. BMJ. 1988 Oct 15;297(6654):932–933. [PMC free article] [PubMed]
- Eddy DM, Hasselblad V, McGivney W, Hendee W. The value of mammography screening in women under age 50 years. JAMA. 1988 Mar 11;259(10):1512–1519. [PubMed]
|
This article has been corrected. See 