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Re: mammograms

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Dear Annette,

I have had regular mammograms since my 30s, on my own insistence, because

of a family history of breast cancer. Sometimes I had to push for one - GP

surgeries have limited budgets - but argued my case. Like most radiologists

I have always regarded them as a snapshot in time that may detect lumps too

small for manual examination, but not a substitute for regular

self-examination for the periods in-between. Yes, they do produce false

positives, but that's preferable to false negatives. An unnecessary biopsy

is only so in hindsight, as I do know someone who died of breast cancer

because her medical practitioners deemed a biopsy of her lump unnecessary.

As you say, this is very much a personal decision.

Best regards,

Krystyna

At 15:01 30/12/02, you wrote:

>Dear All

>seasons greetings ( sorry Graham )

>I would value comments /insights etc on the pros and cons of

>mammograms.This is a personal request as I have reached the age to be

> " invited " for breast screening.

>My basic instinct is to decline as there is much research that suggests

>such screening is no better than self examination and the number of false

>positives leads to an unnecessary number of biopsies etc.what Doctors Dont

>Tell You has a host of reports dismissing the value of mammograms ( I

>havent read all of them ) and even the NHS leaflet sent with the

>appointment says there is no evidence to suggest that mammograms reduce

>the deaths from breast cancer.so I am left with wondering why I should

>have one !

>If anyone can add further information or personal comments for or against

>it may help me make a balanced decision ( which I know is mine alone )

>Thanks , Annette

>

>

>

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Dear Annette,

I have also had mammograms for a few years now, despite only being in my

thirties. I have polycystic breast disease quite severely and it's been

deemed necessary to have diagnosis of various lumps and bumps confirmed by

mammo.

This year I had another but was seeing a new consultant. He was interesting

in that he was not happy for me to have mammo.'s too often - I have no +ve

family history of ca and he doesn't feel it's necessary to screen purely on

my own very lumpy (!) history. He advised that a mammogram is equivalent to

500 times a normal chest x ray and on that basis will not screen on a whim.

In your case though, I would think carefully before dismissing the option

for screening. I've always been reassured to hear that everything's fine and

as Krystyna says false positives are better than false negatives and in the

grand scheme of things a core biopsy isn't a big deal if it does turn out to

unnecessary. Surely it's better to know whether a lump is benign or not.

When second and subsequent mammo.'s are read, they are looking for changes

and false positives can be the result of the patient taking HRT inbetween

scans, which makes the appearance of the breast tissue more dense (it shows

up whiter on the film), and the patient will be recalled in this situation

and usually ultrasound confirms that all is well. As you can imagine, this

will effect many women but I can't imagine many herbalists are included in

that number!

All the best,

Sue Cobbold MNIMH

mammograms

> Dear All

> seasons greetings ( sorry Graham )

> I would value comments /insights etc on the pros and cons of

mammograms.This is a personal request as I have reached the age to be

" invited " for breast screening.

> My basic instinct is to decline as there is much research that suggests

such screening is no better than self examination and the number of false

positives leads to an unnecessary number of biopsies etc.what Doctors Dont

Tell You has a host of reports dismissing the value of mammograms ( I havent

read all of them ) and even the NHS leaflet sent with the appointment says

there is no evidence to suggest that mammograms reduce the deaths from

breast cancer.so I am left with wondering why I should have one !

> If anyone can add further information or personal comments for or against

it may help me make a balanced decision ( which I know is mine alone )

> Thanks , Annette

>

>

>

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