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Question for the ladies - mammograms

Question for the ladies - mammograms

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Old Apr 22nd 2013, 12:48 pm
  #31  
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Default Re: Question for the ladies - mammograms

We have had discussions before about the pros and cons of mammograms. Some thought that the stress of getting 'false alarms' outweighed the benefits. I don't agree...a mass was detected on my mammogram a few years ago. It turned out to be a benign cyst. I would rather undergo a thousand biopsies rather than having to face breast cancer.
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Old Apr 22nd 2013, 2:07 pm
  #32  
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Default Re: Question for the ladies - mammograms

I started having them annually when I was in my late twenties as I thought I had found some lumps (turned out to be just cysts) and also have extremely dense tissue, which makes detection hard. One lovely doctor once described my attributes as resembling "bags of gravel"! Thirty years later, I'm still having mammograms annually, but the current doctrine mandates that I also have an ultrasound too, because of my dense tissue. Yes, it pinches for 30 seconds when you are trapped in the machine, but I think it is absolutely worth it.
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Old Apr 22nd 2013, 3:39 pm
  #33  
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Default Re: Question for the ladies - mammograms

Originally Posted by Sugarmooma
Your choice, do it or not do it.

Mammograms do not "hurt", they are just uncomfortable.
Doesn't matter what size your breasts are, it is uncomfortable for anyone.

Most insurances cover the cost at your yearly well woman exam if you are 40 or over.

Not everyone that is diagnosed with BC has a family history, there are many types of BC.

Self breast exams are important but, as mentioned, by the time you feel a lump it has been there a while and could be a major problem. Mammograms detect them early.

Even women who are well, that never have other problems can get BC, it is an equal opportunity disease and is also not entirely age related either.



Right now BC is destroying the life of someone very close to me, she has spent the last 4 months having chemo and in a few weeks she will be having a complete mastectomy. There is no family history and she never ever felt any lumps, at 50 she had her first mammogram, it was clear. At 55 she had her 2nd one and that was last December when it was detected. Would she be in a better position if she had yearly mammograms? I think so, but she is in the UK and it is not the way they schedule them.



As I said at the start, you either do it or you don't. It is available, it is relatively painless and most times free with insurance and also gives you peace of mind. It could also save your life.
Exactly! Well said!

Do I like mammogram? No. Does it ruin my ruin my day having one? Not as much as finding I had breast cancer and it could have been detected sooner.........
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Old Apr 22nd 2013, 4:39 pm
  #34  
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Default Re: Question for the ladies - mammograms

Originally Posted by AmerLisa
I would imagine so....

And with this whole thread, why should a test to screen for cancer be an issue at all? I don't get it...
What if the test provides no benefit in clinical outcomes at a particular age but risks more harm through false positives? For prostate cancer, for example, several studies have indicated that this indeed is the case in using PSA as a marker. For breast cancer it is a lot less clear cut, as mammograms have clearly reduced deaths from breast cancer. However, based on clinical studies, the The U.S. Preventive Services Task Force recommendations are now for mammograms starting at age 50 and then every 2 years.

Last edited by Giantaxe; Apr 22nd 2013 at 4:42 pm.
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Old Apr 22nd 2013, 4:41 pm
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Default Re: Question for the ladies - mammograms

Originally Posted by Sugarmooma
As I said at the start, you either do it or you don't. It is available, it is relatively painless and most times free with insurance and also gives you peace of mind. It could also save your life.
I think it now has to be free thanks to a requirement in the "socialist" Affordable Care Act. Ditto for colonoscopies. A great policy, imo.
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Old Apr 22nd 2013, 10:26 pm
  #36  
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Default Re: Question for the ladies - mammograms

Originally Posted by Ozzidoc
Your Ob/Gyn is an outlier.
My ob/gyn is the current Chairperson of the ACOG District VIII, she is progressive and doesn't just preach against mammograms (she is in favour of them in certain situations) but she hands out reading material to back up everything she says.
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Old Apr 22nd 2013, 10:35 pm
  #37  
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Default Re: Question for the ladies - mammograms

Originally Posted by Giantaxe
What if the test provides no benefit in clinical outcomes at a particular age but risks more harm through false positives? For prostate cancer, for example, several studies have indicated that this indeed is the case in using PSA as a marker. For breast cancer it is a lot less clear cut, as mammograms have clearly reduced deaths from breast cancer. However, based on clinical studies, the The U.S. Preventive Services Task Force recommendations are now for mammograms starting at age 50 and then every 2 years.
What are the options if you are given a false positive? You follow up and perhaps are given the correct answer? Is getting a false positive a good reason to not take a test?
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Old Apr 22nd 2013, 11:13 pm
  #38  
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Default Re: Question for the ladies - mammograms

Originally Posted by Sugarmooma
I just don't understand that


Hurts a lot more to have chemo or a mastectomy
I totally agree with you, but my sister is hard to talk to - I've tried to encourage her to go back for another one, but she doesn't listen to me. Will have to keep working on her...........
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Old Apr 22nd 2013, 11:21 pm
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Default Re: Question for the ladies - mammograms

Originally Posted by AmerLisa
What are the options if you are given a false positive? You follow up and perhaps are given the correct answer? Is getting a false positive a good reason to not take a test?
Some discussion here. It's worth noting that mammograms aren't risk-free in that you're exposing yourself to radiation:

http://www.bloomberg.com/news/2013-0...ost-women.html

http://www.preventcancer.com/patient...ammography.htm

http://www.cbsnews.com/8301-504763_1...tic-mutations/

As to your question in general, I would say it depends what actions are taken in the case of a (false) positive. This is why PSA screening is a lot more controversial than mammograms:- studies seem to indicate that the former often leads to prostate surgery that may be unnecessary and have serious side effects.

Last edited by Giantaxe; Apr 22nd 2013 at 11:25 pm.
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Old Apr 22nd 2013, 11:25 pm
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Default Re: Question for the ladies - mammograms

Originally Posted by Giantaxe
Some discussion here. It's worth noting that mammograms aren't risk-free in that you're exposing yourself to radiation:

http://www.bloomberg.com/news/2013-0...ost-women.html

http://www.preventcancer.com/patient...ammography.htm

http://www.cbsnews.com/8301-504763_1...tic-mutations/
You're exposing yourself to radiation when you have to take an x-ray for a suspected broken bone, should you perhaps skip that?

I think that pros outweigh the cons in this instance. At least I'm going to go with that one.
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Old Apr 22nd 2013, 11:28 pm
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Default Re: Question for the ladies - mammograms

Originally Posted by AmerLisa
You're exposing yourself to radiation when you have to take an x-ray for a suspected broken bone, should you perhaps skip that?
Obviously there's a benefit in getting a suspected broken bone x-rayed. The point was that a (false) positive is likely to lead to repeat mammograms etc.

Originally Posted by AmerLisa
I think that pros outweigh the cons in this instance. At least I'm going to go with that one.
I think they do as well, but I do wonder why the US tests earlier and more often than other countries, especially given recent studies that indicate that it doesn't reduce the mortality rate from breast cancer.
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Old Apr 22nd 2013, 11:49 pm
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Default Re: Question for the ladies - mammograms

Originally Posted by Giantaxe
Obviously there's a benefit in getting a suspected broken bone x-rayed. The point was that a (false) positive is likely to lead to repeat mammograms etc.



I think they do as well, but I do wonder why the US tests earlier and more often than other countries, especially given recent studies that indicate that it doesn't reduce the mortality rate from breast cancer.
You've forced me to go and read....

I did read this:
http://www.mayoclinic.com/health/mam...elines/AN02052

Specifically this part:

Mayo Clinic supports screening beginning at age 40 because screening mammograms can detect breast abnormalities early in women in their 40s. Findings from a large study in Sweden of women in their 40s who underwent screening mammograms showed a decrease in breast cancer deaths by 29 percent.

But mammogram screening isn't perfect. Another study concluded that despite more women being diagnosed with early breast cancer due to mammogram screening, the number of women diagnosed with advanced breast cancer hasn't decreased. The study suggested that some women with early breast cancer were diagnosed with cancer that may never have affected their health.


I'm putting this on here just to show you what I read. I fully expect it to be taken down because of copyright infringements.
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Old Apr 23rd 2013, 12:52 am
  #43  
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Default Re: Question for the ladies - mammograms

I had a false positive in my mammogram. I was sent back for a more detailed mammogram then an ultrasound that showed all was OK.

I'd really rather go through that than chemo/mastectomy, especially given my previous experience with pre-cancerous cells and the fact that my grandmother is dying of bone cancer secondary to her breast cancer.
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Old Apr 23rd 2013, 1:08 am
  #44  
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Default Re: Question for the ladies - mammograms

Originally Posted by kins
I had a false positive in my mammogram. I was sent back for a more detailed mammogram then an ultrasound that showed all was OK.

I'd really rather go through that than chemo/mastectomy, especially given my previous experience with pre-cancerous cells and the fact that my grandmother is dying of bone cancer secondary to her breast cancer.
I had a similar experience. Mass shown on mammogram...ultra sound then pressure mammogram (now that was a little painful). I was then told to find a breast surgeon without delay. As soon as the breast surgeon looked at the mammogram and ultrasound she was certain it was a cyst. She said it was my call whether to have a biopsy or not...she said she could do it there and then...so I went ahead. I'd rather go through that every year....even a few times a year...than go through breast cancer.
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Old Apr 23rd 2013, 1:31 am
  #45  
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Default Re: Question for the ladies - mammograms

Originally Posted by Giantaxe
I think they do as well, but I do wonder why the US tests earlier and more often than other countries, especially given recent studies that indicate that it doesn't reduce the mortality rate from breast cancer.
That what I want to know and I often wonder if it's due to the cost of health insurance. Maybe that's why so many people go to the doctor here - once you have whatever it is - you're screwed (financially).

I know of people that are deeply in debt (and they have medical insurance) that have had cancer. It's not just the chemo and operations - it's the 5 yrs after that with the abundance of pills they have to take.

My sister-in-law (UK) has never had an xray in her adult life. She has never been for a mammogram and will never go - her reason is the radiation. She won't take any pills or drugs. Had 3 kids without any drugs AND has had a bloody ROOT canal without Novocain

Anyway, thanks for the articles - very interesting and informative.
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