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Screening for breast cancer in pre-menopausal women. Who should decide?

✍ Scribed by Franco Berrino; Christine Bouchardy; Annie J. Sasco

Publisher
John Wiley and Sons
Year
1995
Tongue
French
Weight
357 KB
Volume
60
Category
Article
ISSN
0020-7136

No coin nor oath required. For personal study only.

✦ Synopsis

The recent UlCC meeting on breast cancer screening in pre-menopausal women showed that experts disagree: some would recommend that screening begin at age 40, others would postpone it until after age 50 (Eckhardt et a/., 1994). There is full consensus that screening at ages 40 to 49 may detect a substantial fraction of breast-cancer cases before their clinical manifestation, but the trials carried out have not indicated a significant reduction in subsequent mortality. As stated in the report of the UICC meeting, "this issue is too large for it to remain only the concern of experts." In our opinion, women should be provided with full information to enable them to decide themselves what is better for them. This means that the available scientific evidence both on benefits and on risks should be made quantitatively explicit. As recently reviewed by Hurley

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