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New mammogram recommendations

18 AFTER THE HOUR, JEN OVER TO YOU. THIS WEEK THE GOVERNMENT RELEASED NEW RECOMMENDATIONS FOR BREAST CANCER SCREENINGS AND SUGGS HIM SHOULD GET A MAMMOGRAM EVERY TWO YEARS STARTING AT AGE 50 AND THE PANEL SAYS MAMMOGRAM COME WITH TRADE-OFFSOFFS ARE THERE ARE FALSE ALARMS RESULTING IN UNKNEED BIOPSIES AND DIAGNOSIS. WE WANTED TO GET A LOCAL DOCK’S PERSPECTIVE ON THIS, REMEMBER WHAT HAPPENED IN 2009 WHAT ARE YOU SUPPOSED TO GET ALL THIS WE ASKED YOU ON FACEBOOK IF YOU HAD ANY QUESTIONS. I’D LIKE TO INTRODUCE NOW Dr. WILLIAM SUMMER. GOOD MORNING TO YOU, DO APPRECIATE IT WHAT WAS YOUR REACTION TO WHAT AM we SUPPOSED TO DO NOW? THERE IS A LOT OF CONCERN THAT IT MUDDIES THE WATER, THEY ATTEMPT IS TO CLARIFY THEIR 2009 STATEMENT WHEN THEY CHANGED THEIR RECOMMENDATION FROM SCREENING BEGINNING AT THE AGE OF 40 TO SCREENING BEGINNING AT THE AGE OF 50 AND TO GO FROM ONCE A YEAR TO TWICE A YEAR BETWEEN THAT RECOMMENDATION IS A FOOTNOTE SAYING THAT THAT APPLIED TO TRULY AVERAGE RISK INDIVIDUALS AND THAT IF THERE WERE THINGS THAT INCREASED YOUR THRAISK THOSE SPECIFIC GUIDELINES MIGHT NOT APPLY. THIS STATEMENT COMES OUT AND EMPHASIZES THAT MORE SAYING THAT IF THERE ARE INDIVIDUAL FACTORS ABOUT THE PATIENT THAT MODIFY THAT, THAT INCREASE THEIR RISK, TO SIT DOWN WITH YOUR PHYSICIAN, DISCUSS THAT AND DECIDE WHEN YOU SHOULD BEGIN SCREENING. AS AN ONCOLOGIST WHAT IS YOUR OPINION THEN IF A WOMAN IS HITTING 40 HOW OFTEN SHOULD SHE GET A MAMMOGRAM? TO SOME DEGREE we AGREE WITH WHAT THEY SAID WHICH IS THAT REALLY IT IS AN INDIVIDUAL DECISION AND NOT ALL WOMEN ARE AVERAGE RISK AND THERE ARE WAYS TO THINGS THAT YOU CAN LOOK AT, AGE AT FIRST PERIOD, WHETHER OR NOT THERE IS A FAMILY HISTORY OF BREAST CANCER, AGE AT MENOPAUSE, A NUMBER OF DIFFERENT THINGS THAT CAN IMPACT WHAT YOUR RICK OF BREAST CANCER IS. IF YOUR RISK IS HIGHER THAN THE BENEFITS OF SCREENING OFTEN STARTING AT A YOUNGER AGE ARE HIGHER AND THOSE WOMEN. EVERY YEAR? EVERY YEAR STARRING AT 40 AND THAT IS WHAT MOST OF THE PROFESSIONAL ORGANIZATIONS, THE AMERICAN ONCOLOGIST RADIOLOGIST, AMERICAN CANCER SOCIETY HAVE ALL STUCK WITH THE TRADITIONAL GUIDELINES THERE IS A TRADEOFF THAT THE YOUNGER YOU SCREEN THE LOWER THE CHANCES OF BREAST CANCER OVERALL IF THE CHANCES OF BREAST CANCER ARE LOWER THE CHANCES THAT AN ABNORMAL MAMMOGRAM IS NOT ACTUALLY PICKING UP A BREAST CANCER BUT INSTEAD WHAT IS CALLED A FALSE NEGATIVE IS HIGHER AND YOU MAY BE UNDERGOING UNNECESSARY CALLBACK MAMMOGRAMS OR BIOPSIES OR PROCEDURES. BUT IF YOU CATCH IT. IF YOU DON’T DO THAT THERE ARE SOME PEOPLE WHERE THEIR BREAST CANCER IS GOING TO NOT BE DETECHED AS EARLY AS. AND WE ALWAYS HEAR REGARDLESS OF WHAT KIND OF CANCER THE EARLIER THE BETTER IN TERMS OF DIAGNOSIS. AND OUTCOME. IS IT IS INTERESTING, TOO, BECAUSE WHEN we HAD THIS CONVERSATION, FOR EXAMPLE, we HAVE IT WITH A DOCK WHO IS NOT AN ON EXPOLINGS SOME ARE SAYING SHOULD we ASK AN ONCOLOGIST, DO THEY KNOW BETTER AS OPPOSED TO A PRIMARY CARE PHYSICIAN, NOT TO FORCE YOU TO ANSWER THIS, BUT AT FOR THEN SHOULD YOU HAVE ONE EVERY YEAR IF YOU’RE AT A HIGHER RISK? AND WHAT ABOUT 50? FOR SURE IF YOU’RE AT HIGHER RISK AND AGAIN THE TRADEOFF IF AVERAGE RISK VERSUS HIGHER RISK IS IF YOU’RE HIGHER RISK START PROBABLY SOONER IF YOU’RE AVERAGE RISK IT IS WEIGHING THE PROS AND CONS OF POTENTIALLY HAVING FALSE POSITIVES THE ANXIETY THAT GOES ALONG WITH THAT. VERY QUICKLY HERE AND we WANT TO MAKE SURE WE GET TO ONE OF THESE QUESTIONS, we HAD OVARIAN CANCER AT 23 AND 25, MY MOM HAD BREAST CANCER IN HER 40s, we WAS TOLD TO START MAMMOGRAMS AT 30s, we DON UNDERSTAND WHY THEY WAIT UNTIL 40sAND 50s DO YOU THINK THEY NEED TO START SCREENING EARLIER? THIS IS A GREAT QUESTION THAT ABSOLUTELY ILLUSTRATES KIND OF WHAT THE POINT IS THAT THEY’RE TRYING TO MAKE IN THIS REVISION OF THEIR GUIDELINES THAT PATIENT, OVARIAN CANCER AT A YOUNG AGE AND THAT PATIENT A FAMILY HISTORY OF BREAST CANCER AND we DON WANT TO ALARM, we THINK THIS WAS RECEIVE BY FACEBOOK SO THERE HASN’T BEEN ANY CONTACT TO DISCUSS THIS, BUT THIS PERSON IS PROBABLY HAS A VERY HIGH RISK OF BEING A BRACA PEAN BLG THEY MAY HAVE THE BREAST CANCER GENE AND BE AT INCREASED RICK AND SHOULD UNDERGOING GENETIC TEST, THESE SCREENING GUIDELINES DON’T APPLY TO THAT IS WIN IS WHO PARTICULARLY IF THEY ARE BRCA PEAN IS MUCH HIGHER RISK FOR BREAST CANCER AND THEN YOU GET INTO WHEN DO YOU THAN INTERVENE AND HOW. WE HAVE OTHER QUESTIONS HERE,

Article source: http://www.news4jax.com/news/new-mammogram-recommendations/32505530

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