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- $Unique_ID{BRK00282}
- $Pretitle{}
- $Title{Should Women Over Forty Have Routine Mammograms?}
- $Subject{mammography cancer prevention neoplasm neoplasms carcinoma Special
- Procedures procedure Mammograms age forty breast cancer premenopausal family
- histories prevention Malignancy biopsy surgery surgeries operation operations
- lumpectomy radiation partial radical mastectomy mastectomies cancers}
- $Volume{P-19, B-19}
- $Log{
- Anatomy of the Female Chest*0005301.scf
- Simple Mastectomy*0005302.scf
- Modified Radical Mastectomy*0005303.scf
- Standard Radical Mastectomy*0005304.scf}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
-
-
- Should Women Over Forty Have Routine Mammograms?
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-
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-
- QUESTION: I'm forty and my gynecologist recently suggested that I have my
- first mammogram done and then go routinely every two years. Do you agree?
-
- ------------------------------------------------------------------------------
-
- ANSWER: At about the age of forty, most physicians feel that women should
- have their first mammogram done, and I'm in total agreement. They should
- continue having them regularly at two-year intervals up to about the age of
- fifty. At that age the American College of Radiology recommends yearly
- mammograms. I tend to think that the two-year interval can be maintained even
- for women in their fifties.
- Of course, women in their twenties and thirties at high risk for breast
- cancer should have them done immediately. These are women with histories of
- breast cancer in their families, and, of course, with them a mammogram should
- be performed now, not at the age of forty. This is not a scare tactic but
- just plain common sense. The earlier that a cancer is detected the better the
- outcome. And for women who are premenopausal with family histories of breast
- cancer, the risk is the greatest. So don't be alarmed at the advice of your
- gynecologist. It is a precautionary regimen in medicine aimed at prevention.
- Mammograms are simply and expertly done with no pain to the patient.
- A recent patient of mine, who happened to be thirty-five, went for her
- first mammogram, because her mom had breast cancer in her thirties. A small
- mass less than 1 cm in diameter was found, and before I referred her to a
- specialist I wanted to assure her and discuss her options. Malignancy was
- suspected even before the biopsy. First I told her exactly what would happen
- in the biopsy to allay some of her fears. When the biopsy proved positive, we
- discussed the options within the surgery. Because of the small size of the
- lesion, I told her that her disease was in its very early stages. Since this
- was the case, she had had the option of lumpectomy (the removal of part of the
- breast with the growth) and follow-up radiation therapy. A radical mastectomy
- (complete removal of both breasts) was not necessary in her case. More and
- more research is indicating that lumpectomy followed by radiation is just as
- effective, possibly more so, than mastectomy in treating breast cancer. More
- breakthroughs occur daily in our fight against breast cancer.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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-