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Thoughts of an Old Surgeon on the New Mammographic Screening Guidelines

机译:老外科医生对乳腺新筛查指南的看法

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Several recent reports have concluded that mammography is overrated and overdone. This has brought about a change in the recommendations for screening mammography, from yearly screening starting at age 40, to every other year screening starting at age 50, and no screening after age 74. Furthermore, self-examination is claimed to be next to worthless. Are we treating some cancers that would never grow? That has been known for decades. The problem is we cannot distinguish between the cancers that are lethal and the ones that are harmless because they look the same under the microscope or under any known measure we have to date.?Breast cancer remains a formidable enemy! We have made a dent in the death rate since 1989. When you are winning a race, slowing your pace is likely to cost your lead. Before money-saving schemes are implemented, they need to be fully vetted. This has not happened with the new breast cancer screening guidelines.
机译:最近的一些报告得出的结论是,乳腺X线摄影被高估且过高。从40岁开始的年度筛查,到50岁开始的每隔一年筛查,再到74岁以后不再进行筛查,这改变了乳腺X线检查的建议。此外,据称自我检查几乎没有价值。 。我们正在治疗一些永远不会增长的癌症吗?这已经知道了几十年了。问题是我们无法区分致命的癌症和无害的癌症,因为在显微镜下或迄今为止我们已知的任何已知措施下它们看起来都一样。乳腺癌仍然是一个强大的敌人!自1989年以来,我们就降低了死亡率。当您赢得比赛时,减慢步伐很可能会浪费您的领先优势。在实施省钱计划之前,需要对它们进行全面审查。新的乳腺癌筛查指南并未发生这种情况。

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