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Is a mammogram valuable for older women?

 


Subsequent data from an analysis of 763,256 mammography screens performed between 2007 and 2017 found cancer in 3,944 women. 10% of them were over 75 years old. Most of the cancers in older women are invasive and of a grade to be treated, said the author of this study, Dr. Smathatia Destonis, a radiologist at Elizabeth Wende Breast Care in Rochester, NY I reported. Nearly two-thirds could spread rapidly and grow.

Dr. Destounis told Healthline: The age to discontinue screening should be based on the health of each woman and should not be defined by age. “

At the same time, women live longer, are productive, and reasonably healthy, spending many of the additional years productively. For them, Dr. Destounis said, finding early-stage invasive cancers that could be treated with minimal surgery and postoperative therapy could have great implications for patients, their families, and their communities.

Nevertheless, there is one fact that every elderly woman should know. “We are looking forward to working with you,” said Diana Milioletti, a biostatistician at the University of California, Davis. Evidence suggests that the benefits of screening will not be seen until 10 years later. “She also said that there is a risk of overdiagnosis that increases with age-finding cancers that would not have harmed women in her lifetime.

In an interview, Dr. Mara A. Schoenberg, a physician at the Beth Israel Deaconess Medical Center in Boston, highlighted Dr. Mirioletti’s concerns. “Oversensing older women is a problem, and even finding breast cancer is not always good. To avoid death from one breast cancer, screen 1,000 women between the ages of 50 and 74. It will take at least 10 years, and perhaps even longer in women over the age of 75, who tend to have slower breast cancer. It is not clear if older women need all the aggressive treatment they receive.”

In addition, 100 out of 1,000 women aged 75 to 84 who have been on mammograms for five years will give false alarms. Causes anxiety and encourages many tests to find cancer.. With continued mammography, within 5 years, 3 out of 1,000 elderly women will die of breast cancer (as opposed to 4 women without mammograms). She also noted that among women aged 75 to 84 who die in the next five years, 12 times more often die of heart disease than breast cancer.

Dr. Schonberg and colleagues are working to help women decide if it’s in their best interest to continue taking mammograms regularly after age 75. Devised a decision support available in English and Spanish.

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